Individual
CODY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
209 FAIRFIELD AVE, NEWARK, OH 43055-4627
(740) 281-9887
Mailing address
209 FAIRFIELD AVE, NEWARK, OH 43055-4627
(740) 281-9887
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN.399483
OH
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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