IndividualActive
Deanna Mason, IDC
NPI 1164818316 · Independent Duty Corpsman · Hamtramck, MI
Provider details
- NPI number
- 1164818316
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
12075 Saint Aubin St
Hamtramck, MI 48212-2626
Phone: (313) 405-4204
Approximate (ZIP-level) locationGet directions
Mailing address
12075 Saint Aubin St
Hamtramck, MI 48212-2626
Registry dates
- Enumerated
- 2015-04-14
- Last updated
- 2015-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.