Individual
MRS. ALEXA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 HAMILTON CT, SIDNEY, OH 45365-2253
(937) 489-3759
Mailing address
1226 HAMILTON CT, SIDNEY, OH 45365-2253
(937) 489-3759
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376J00000X
—
OH
Enumeration date
09/11/2020
Last updated
09/11/2020
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