Individual
CHARLEA MASSION
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 OLD DOMINION CT, APTOS, CA 95003-3821
(831) 458-6200
Mailing address
PO BOX 1833, SANTA CRUZ, CA 95061-1833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G45455
CA
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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