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NPI Profile for RUSTY MASON JR in FORESTVILLE, MD.
A person employed to operate a motor vehicle as a carrier of persons or property.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Driver |
172A00000X | |||
Community Health Worker |
172V00000X | |||
Poetry Therapist |
102X00000X |
| NPI # | 1750787263 |
|
| Status | Active | |
| Credentials | CDL | |
| Entity | Individual | |
| Enumeration date | 11/10/2014 | |
| Last updated | 11/10/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RUSTY MASON JR
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RUSTY MASON JR, CDL