Individual
MEKKA SIMONE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5840 LANGSTON DR, TAMPA, FL 33619-4504
(813) 567-6790
Mailing address
5840 LANGSTON DR, TAMPA, FL 33619-4504
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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