Individual
DERRICK MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3636 GREENTREE DR, BATON ROUGE, LA 70814-1217
(225) 955-6264
Mailing address
3636 GREENTREE DR, BATON ROUGE, LA 70814-1217
(225) 955-6264
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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