Individual
BRIAN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 W MORRISON AVE, SANTA MARIA, CA 93458-6124
(805) 878-2077
Mailing address
2131 SOUTHSIDE PKWY, SANTA MARIA, CA 93455-1389
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-HEUTLQ
CA
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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