Camonie Mason
Technician, Attendant Care Provider in Lithonia, GA. Individual provider (NPI-1).
NPI number1962043828
StatusActive
Last updated in NPPESOct 2, 2019
Details
- NPI
- 1962043828
- Entity type
- Individual (NPI-1)
- Name
- Camonie Mason
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2019
- Last updated
- Oct 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
7140 Bedrock CirLithonia, GA 30038-3372
Phone 804-895-3258
Mailing address
7140 Bedrock CirLithonia, GA 30038-3372
Phone 804-895-3258
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