Individual
EVA MASONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10056 ROTHGARD RD, SPRING VALLEY, CA 91977-3147
(858) 262-3057
Mailing address
10056 ROTHGARD RD, SPRING VALLEY, CA 91977-3147
(858) 262-3057
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
11/01/2023
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