Latrisa Mason

NPI #1467043745 in Hephzibah, Georgia

Provider Information

NPI Number: 1467043745
Entity Type: Individual
Name: Latrisa Mason
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 29, 2021
Last Updated: Jan 29, 2021

Practice Location

Address: 4705 WELDON ADAMS DR
City: Hephzibah
State: Georgia
ZIP Code: 30815-2801
Phone: (229) 364-3405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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