Provider Demographics
NPI:1326560467
Name:MASON-ALVIES, MONIQUE RENEE
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:RENEE
Last Name:MASON-ALVIES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10304 RUNNYMEDE AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2217
Mailing Address - Country:US
Mailing Address - Phone:216-296-1905
Mailing Address - Fax:
Practice Address - Street 1:10304 RUNNYMEDE AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2217
Practice Address - Country:US
Practice Address - Phone:216-296-1905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health