Individual
CASEY D MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
595 COUNTRY CLUB DR, NEWARK, OH 43055-2154
(740) 239-8080
Mailing address
368 CEDARCREST AVE, NEWARK, OH 43055-6309
(978) 549-0136
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
148275
OH
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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