Individual
WILLIAM R MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4384 CLEARWATER WAY STE 190, LEXINGTON, KY 40515-6493
(859) 403-3385
Mailing address
4384 CLEARWATER WAY STE 190, LEXINGTON, KY 40515-6493
(859) 403-3385
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/15/2024
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