Individual
MR. EDDY CARL MASON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 N COOPER AVE, APT#2, CINCINNATI, OH 45215-2921
(513) 769-3910
Mailing address
326NCOOPERAVE., APT#2, CINCINNATI, OH 45215-2921
(513) 769-3910
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
RM204754
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2454464
—
OH
Enumeration date
03/06/2007
Last updated
07/09/2007
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