Individual
CHANATHIP MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN WCC OMS
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
6088 N ROOSEVELT AVE, FRESNO, CA 93704-1633
(559) 269-7917
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
95123342
CA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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