Individual
DEMETRA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1713 POLING AVE, FORT WASHINGTON, MD 20744-3751
(240) 515-8931
Mailing address
1713 POLING AVE, FORT WASHINGTON, MD 20744-3751
(240) 515-8931
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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