Individual
CHRIS WAYNE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
953 STAR LAKE AVE, SOUTH LAKE TAHOE, CA 96150-7828
(206) 650-2069
Mailing address
953 STAR LAKE AVE, SOUTH LAKE TAHOE, CA 96150-7828
(206) 650-2069
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASONCW187NQ
WA
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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