Individual
MRS. TIFFANY TASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7162 HIGHWAY 1, MANSURA, LA 71350-4351
(318) 253-4073
Mailing address
7162 HIGHWAY 1, MANSURA, LA 71350-4351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018844
LA
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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