Individual
JACY CSASZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 MAMIE ST, PETAL, MS 39465-2130
(601) 325-1933
Mailing address
204 MAMIE ST, PETAL, MS 39465-2130
(601) 325-1933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
907107
MS
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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