Individual
DIANE JOAN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
136 S LARKWOOD ST, ANAHEIM, CA 92808-1213
(714) 315-4478
Mailing address
136 S LARKWOOD ST, ANAHEIM, CA 92808-1213
(714) 315-4478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
396268
CA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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