Individual
GEORGETTA RENEE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 COUNTRY LN APT 525, CLEVELAND, OH 44128-5849
(216) 482-5171
Mailing address
4800 COUNTRY LN APT 525, CLEVELAND, OH 44128-5849
(216) 482-5171
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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