Individual
MISS CHRISTINA FORBES TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
154 HIGHWAY 1008, NAPOLEONVILLE, LA 70390-2009
(985) 369-1880
(985) 369-9191
Mailing address
217 RAILROAD AVE, DONALDSONVILLE, LA 70346-2527
(225) 473-3931
(225) 473-3289
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200.199
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1357081
—
LA
Enumeration date
10/13/2008
Last updated
01/03/2011
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