Individual
MASON HAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WATER ST, CLYDE, NY 14433-1419
(503) 914-9750
Mailing address
14 WATER ST, CLYDE, NY 14433-1419
(503) 914-9750
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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