Individual
OLIVIA CENSERA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
537 LOW GROUND RD, EMPORIA, VA 23847-6732
(434) 378-2335
Mailing address
537 LOW GROUND RD, EMPORIA, VA 23847-6732
(434) 378-2335
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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