Individual
MR. MYRON JUDE TASSIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
149 DRINKWATER BLVD., BAY ST. LOUIS, MS 39520
(228) 467-8600
Mailing address
149 DRINKWATER BLVD., BAY ST. LOUIS, MS 39520
(228) 467-8600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R875521
MS
Other
Enumeration date
06/14/2006
Last updated
03/19/2015
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