Individual provider · Type 1 NPI
Rusty Mason Jr., CDL
Driver · Forestville, MD
NPI number
1750787263
Active
Practice location
2001 Burgess Pl
Forestville, MD 20747-1200
Mailing address
PO Box 471353
District Heights, MD 20753-1353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Poetry Therapist | 102X00000X | None listed |
| Driver Primary | 172A00000X | M250751019101 (MD) |
| Community Health Worker | 172V00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1750787263
Rusty Mason Jr., CDL's National Provider Identifier is 1750787263, issued on Nov 10, 2014. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Forestville, MD. The record was last updated on Nov 10, 2014.