LAURA ASHLEY TASAN

JACKSON, MS
NPI1619236106
Former NameLAURA ASHLEY GIRARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0216X Pediatrics, Pediatric Rheumatology
(Licence: PA  MT209380)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-05-03
Last Update Date2023-07-11
Business Address
LAURA ASHLEY TASAN M.D
2500 N STATE ST
JACKSON, MS 39216
Phone number: 601-815-6960
Mailing Address
LAURA ASHLEY TASAN M.D
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: