Individual
KATHLEEN MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3714 SW 12TH PL, CAPE CORAL, FL 33914-5115
(239) 220-0720
(239) 220-5525
Mailing address
3714 SW 12TH PL, CAPE CORAL, FL 33914-5115
(239) 220-0720
(239) 220-5525
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/26/2012
Last updated
01/25/2013
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