Mason Ii, Deryk

Mason Ii, Deryk is an sole proprietor health care provider with primary practice located at 1241 W Foothill Blvd , Upland CA 91786-3681. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Mason Ii, Deryk can be contacted via phone (909) 985-2713.

Contact Information

Primary practice address
1241 W Foothill Blvd Upland CA 91786-3681
Phone: (909) 985-2713
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 287724 California

Profile Details

NPI number 1457045346
LBN Legal business name Mason Ii, Deryk
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2023
Last updated Jun 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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