Individual
MRS. VIVARIA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 FOREST DALE DR, MOBILE, AL 36618-2340
(678) 447-4574
(251) 341-5613
Mailing address
1304 FOREST DALE DR, MOBILE, AL 36618-2340
(678) 447-4574
(251) 341-5613
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
621399
AL
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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