Individual
ALINE ASSAKER TOMAJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1340 BROAD AVE STE 450, GULFPORT, MS 39501-2460
(228) 867-5006
Mailing address
10740 PLANTATION LN, GULFPORT, MS 39503-4058
(832) 594-2921
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905712
MS
Other
Enumeration date
01/05/2023
Last updated
03/08/2023
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