Individual
MR. JAMES WASSEL TARASUIK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(618) 669-2657
Mailing address
379 HUG CEMETERY RD, POCAHONTAS, IL 62275-3532
(618) 651-0353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010372
IL
Other
Enumeration date
04/23/2013
Last updated
05/20/2024
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