Individual
MICHELE ALLEN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 VAN ARPEL DR, LA PLACE, LA 70068-6337
(504) 237-3913
Mailing address
2008 VAN ARPEL DR, LA PLACE, LA 70068-6337
(504) 237-3913
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
720DT0
LA
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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