Individual
MRS. JAYDENE MASON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2600 OAKSHIRE LN, PUEBLO, CO 81001-5671
(719) 295-7260
(719) 295-7267
Mailing address
622 BELLEVIEW AVE, LA JUNTA, CO 81050-2334
(719) 384-0184
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
72274
CO
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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