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Tyra Mason
NPI 1811587678 · on the registry since 2021
Practice
- Address
- 5823 Oak Forest Ct
Indian Head, MD 20640 - Phone
- (301) 885-9752
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland