Individual
ILA R MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2072 N COUNTY ROAD 700 W, RICHLAND, IN 47634-9480
(812) 359-4012
(812) 359-4481
Mailing address
2072 N COUNTY ROAD 700 W, RICHLAND, IN 47634-9480
(812) 359-4012
(812) 359-4481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71008933A
IN
Other
Enumeration date
04/29/2019
Last updated
06/11/2019
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