Individual
HAZEL JEAN MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 HIGHWAY 65 N, MARSHALL, AR 72650-7863
(870) 448-2176
Mailing address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 968-5570
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L048008
AR
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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