CLAUDE MASK

LAGRANGE, GA
NPI1801218912
Other NameCJ MASK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  LD003990)
Enumeration Date2014-01-08
Last Update Date2014-01-08
Business Address
-- CLAUDE MASK RD
1514 VERNON RD
LAGRANGE, GA 30240-4131
Phone number: 706-812-2211
Mailing Address
-- CLAUDE MASK RD
614 FLORENCE DR
AUBURN, AL 36830-5005
Phone number: 706-616-2944