Individual
CHARLES MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 D ST RM 601, ANTIOCH, CA 94509-2346
(925) 777-9550
Mailing address
492 MILLS DR, BENICIA, CA 94510-1415
(707) 745-9412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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