Tanikka Mason | |
2002 Wakefield Ave Petersburg VA 23805-2112 | |
(804) 733-1180 | |
(804) 733-1181 |
Full Name | Tanikka Mason |
---|---|
Speciality | Community/behavioral Health |
Location | 2002 Wakefield Ave, Petersburg, Virginia |
Authorized Official Name and Position | Tanikka Lashelle Mason (CHIEF CLINICAL OFFICER) |
Authorized Official Contact | 8047331180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tanikka Mason 2002 Wakefield Ave Petersburg VA 23805-2112 Ph: (804) 733-1180 | Tanikka Mason 2002 Wakefield Ave Petersburg VA 23805-2112 Ph: (804) 733-1180 |
NPI Number | 1285182246 |
---|---|
Provider Enumeration Date | 09/19/2016 |
Last Update Date | 09/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285182246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
News Archive
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