Individual
MASON FITZGIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 13TH AVE S APT B3, BIRMINGHAM, AL 35205-1853
(256) 684-3412
Mailing address
2809 13TH AVE S APT B3, BIRMINGHAM, AL 35205-1853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-183349
AL
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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