Individual
MISTY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 516-2292
Mailing address
615 ONEAL ST, BELPRE, OH 45714-1751
(740) 516-2292
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RU144756
OH
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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