Mason White

NPI #1154021525 in Lake City, Minnesota

Provider Information

NPI Number: 1154021525
Entity Type: Individual
Name: Mason White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 6, 2023
Last Updated: Mar 6, 2023

Practice Location

Address: 72374 327TH AVE
City: Lake City
State: Minnesota
ZIP Code: 55041-3002
Phone: (651) 448-0124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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