Individual
MASON DURRELL FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 R ST SE APT 2, WASHINGTON, DC 20020-4763
(202) 486-4196
Mailing address
1720 R ST SE APT 2, WASHINGTON, DC 20020-4763
(202) 486-4196
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
Primary
LT000058
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LT000058
—
DC
Enumeration date
07/28/2021
Last updated
07/28/2021
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