DEREK LEE MASINGALE

BELLA VISTA, AR
NPI1134375322
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other Surgical Technologist
Enumeration Date2008-08-07
Last Update Date2008-08-07
Business Address
DEREK LEE MASINGALE
2 MILLS LN
BELLA VISTA, AR 72714-6329
Phone number: 479-659-1872
Mailing Address
DEREK LEE MASINGALE
2 MILLS LN
BELLA VISTA, AR 72714-6329
Phone number: 479-659-1872