Individual
LAURA MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 S KNOXVILLE ST, PORTALES, NM 88130-6100
(575) 356-7015
(575) 356-8082
Mailing address
201 S KNOXVILLE ST, PORTALES, NM 88130-6100
(575) 356-7015
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R35114
NM
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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