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Individual

RUSTY MASON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDL

Contact information

Practice address
2001 BURGESS PL, FORESTVILLE, MD 20747-1200
(202) 971-6760
Mailing address
PO BOX 471353, DISTRICT HEIGHTS, MD 20753-1353
(202) 971-6760

Taxonomy

Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
172A00000X
Driver
Primary
M250751019101
MD
172V00000X
Community Health Worker

Other

Enumeration date
11/10/2014
Last updated
11/10/2014
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