Individual
MS. SHARLENE R MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 KELLARS LN, A-1, LIVERPOOL, NY 13088-6243
(314) 214-3247
Mailing address
100 KELLARS LN APT A1, LIVERPOOL, NY 13088-6248
(314) 214-3247
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
205108
NY
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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