Individual
MR. JAY CHRISTOPHER MASCAGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA ,MSNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4220
Mailing address
10908 DAUPHINE ST, SHREVEPORT, LA 71106-8531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN094616 AP04359
LA
Other
Enumeration date
03/23/2006
Last updated
11/15/2007
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