Individual provider · Type 1 NPI

Tracy Mason

Student in an Organized Health Care Education/Training Program · Virginia Beach, VA

NPI number 1104173459 Active

Practice location

4512 Marlwood Way
Virginia Beach, VA 23462-7238

Call (757) 831-2176 Map

Mailing address

PO Box 12236
Norfolk, VA 23541-0236

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104173459

Tracy Mason's National Provider Identifier is 1104173459, issued on Aug 6, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Virginia Beach, VA. The record was last updated on Aug 6, 2012.