WAKANDA MASON

ALEXANDRIA, LA
NPI1962059238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: LA  208238)
Enumeration Date2019-08-21
Last Update Date2022-09-01
Business Address
WAKANDA MASON APRN, PMHNP-BC
1450B PETERMAN DR
ALEXANDRIA, LA 71301-3432
Phone number: 318-299-2950
Mailing Address
WAKANDA MASON APRN, PMHNP-BC
PO BOX 3352
PINEVILLE, LA 71361-3352
Phone number: 318-299-2950
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