Individual
MRS. JUDY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9400
Mailing address
PO BOX 510721, SALT LAKE CITY, UT 84151-0721
(801) 297-4891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1863133102
UT
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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