Individual
ANITA MARY MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 279-0980
Mailing address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 279-0980
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
161612
NC
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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