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NPI Code Detail

MEDICARE: LATRICE MASON

MEDICARE:   LATRICE  MASON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1356037295
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATRICE MASON
Provider Business Mailing Address
First Line : 5040 DELHI RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-5388
Country : US
Telephone Number : 513-655-0124
Fax Number :
Provider Business Practice Location Address
First Line : 3299 NANDALE DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-4115
Country : US
Telephone Number : 513-655-0124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2023
Last Update Date : 04/13/2023

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Directions to “ LATRICE MASON ” Practice Location

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