Individual
TYRISHA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2216 AVERY RD E, BELLEVUE, NE 68005-4643
(402) 502-8330
(402) 502-8331
Mailing address
2216 AVERY RD E, BELLEVUE, NE 68005-4643
(402) 502-8330
(402) 502-8331
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20903
NE
Other
Enumeration date
07/13/2010
Last updated
08/25/2011
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