Individual
LAUREL-ANNE LAURETTA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2-22 BANTA PL, FAIR LAWN, NJ 07410-3058
(877) 532-7837
Mailing address
2-22 BANTA PL, FAIR LAWN, NJ 07410-3058
(877) 532-7837
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00311000
NJ
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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