Individual
MRS. BERNADETTE JOY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5402
(586) 573-5580
Mailing address
15021 STEPHENS DR, EASTPOINTE, MI 48021-1559
(586) 778-0875
(586) 778-0875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704173483
MI
Other
Enumeration date
09/25/2010
Last updated
09/25/2010
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