Individual
ELIZABETH HEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3635 BIENVILLE BLVD STE B, OCEAN SPRINGS, MS 39564-5711
(228) 872-1951
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00654
MS
Other
Enumeration date
10/06/2021
Last updated
12/28/2022
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