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NPI Code Detail

MEDICARE: LADONNA ANN MASSEY

MEDICARE:   LADONNA ANN MASSEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1063228971
Entity Type Code : Individual
Provider Name (Legal Business Name) : LADONNA ANN MASSEY
Provider Business Mailing Address
First Line : 1567 GATEWAY BLVD SE
Second Line :
City : CANTON
State : OH
Zip : 44707-3552
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1567 GATEWAY BLVD SE
Second Line :
City : CANTON
State : OH
Zip : 44707-3552
Country : US
Telephone Number : 330-280-4340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2024
Last Update Date : 12/05/2024

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Directions to “ LADONNA ANN MASSEY ” Practice Location

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