Provider Demographics
NPI:1538326616
Name:MASON, CAMAI SYKES
Entity Type:Individual
Prefix:MRS
First Name:CAMAI
Middle Name:SYKES
Last Name:MASON
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 1:609 7TH ST
Mailing Address - Street 2:APT F
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-5836
Mailing Address - Country:US
Mailing Address - Phone:757-478-6170
Mailing Address - Fax:757-295-3013
Practice Address - Street 1:609 7TH ST
Practice Address - Street 2:APT F
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-5836
Practice Address - Country:US
Practice Address - Phone:757-478-6170
Practice Address - Fax:757-295-3013
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-17
Last Update Date:2008-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor