Individual
HAILEY AMANDA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6136 LAKE MURRAY BLVD, LA MESA, CA 91942-2502
(877) 693-6266
Mailing address
4275 MISSION BAY DR APT 316, SAN DIEGO, CA 92109-5764
(626) 483-0299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64486
CA
Other
Enumeration date
09/02/2022
Last updated
10/03/2024
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