Organization
MICHELLE RENEE CRANIAL PROTHESIS
Active
Other names
Michelle Mason, michelle Renee Cranial Prothesis
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MASON (SUPERVISOR)
(240) 355-6533
Entity
Organization
Contact information
Practice address
6019 MARLBORO PIKE, DISTRICT HEIGHTS, MD 20747-2147
(240) 355-6533
Mailing address
723 FALLSGROVE DR APT 4111, ROCKVILLE, MD 20850-7786
(240) 355-6533
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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