Individual
IRENE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
52 N TU SU LN, BISHOP, CA 93514-8058
(760) 872-3707
(760) 872-6563
Mailing address
52 N TU SU LN, BISHOP, CA 93514-8058
(760) 872-3707
(760) 872-6563
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
607739
CA
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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