Individual
MASON MARIE CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8201 ELGIN LN, DUBLIN, CA 94568-1507
(925) 487-0690
Mailing address
8201 ELGIN LN, DUBLIN, CA 94568-1507
(925) 487-0690
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
135
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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