Individual
MRS. KIMBERLY LYNN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSA
Contact information
Practice address
1673 TRAILS END LN, BOLINGBROOK, IL 60490-3291
(630) 378-3114
(630) 378-3118
Mailing address
PO BOX 1134, BOLINGBROOK, IL 60440-1085
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
IL
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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