Individual
TAMMY TAMIESHA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5651 N PERSHING AVE STE B4, STOCKTON, CA 95207-4947
(209) 395-3980
(209) 251-6614
Mailing address
5651 N PERSHING AVE STE B4, STOCKTON, CA 95207-4947
(209) 395-3980
(209) 251-6614
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394700047
NON-MEDICAL HOME CARE
CA
Enumeration date
10/05/2023
Last updated
10/05/2023
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