Individual
MS. DEBORAH SUSAN MASON-TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1528 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 415-3888
(270) 415-3896
Mailing address
1528 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 415-3888
(270) 415-3896
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-1418
KY
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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