Malissa Masiongale, | |
5880 Bradford Hicks Dr, Tn Dept Of Health, Livingston, TN 38570-2236 | |
(931) 823-6260 | |
Not Available |
Full Name | Malissa Masiongale |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 5880 Bradford Hicks Dr, Livingston, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992831994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 34458 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
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Malissa Masiongale, 716 Oakley Allons Rd, Allons, TN 38541-6924 Ph: () - | Malissa Masiongale, 5880 Bradford Hicks Dr, Tn Dept Of Health, Livingston, TN 38570-2236 Ph: (931) 823-6260 |
Tiffany Jolley, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5880 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-6260 | |
Rebecca Parsons, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5880 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-6260 |