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Individual

TANIYA MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
726 HART ST, BRIDGEPORT, CT 06606-4349
(347) 654-7480
Mailing address
726 HART ST, BRIDGEPORT, CT 06606-4349

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
986943
NY

Other

Enumeration date
05/05/2025
Last updated
05/05/2025
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