Provider Demographics
NPI:1649505421
Name:MASON, ROSEMARY (PCD(DONA),CLC)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:PCD(DONA),CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10026 PINEWOOD VW
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-1112
Mailing Address - Country:US
Mailing Address - Phone:619-448-6667
Mailing Address - Fax:
Practice Address - Street 1:10026 PINEWOOD VW
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-1112
Practice Address - Country:US
Practice Address - Phone:619-448-6667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3983374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula