Individual
LYNITA D MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDG
Contact information
Practice address
8575 IVOR ROAD, IVOR, VA 23866
(757) 859-6161
(757) 859-6452
Mailing address
8575 IVOR ROAD, IVOR, VA 23866
(757) 859-6161
(757) 859-6452
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0402202259
VA
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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