Justin Gerald Tattersall

NPI #1518479104 in Jackson, Wyoming

Provider Information

NPI Number
1518479104
Entity Type
Individual
Name
Justin Gerald Tattersall
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Registered Nurse First Assistant
Enumeration Date
Nov 3, 2017
Last Updated
Nov 3, 2017

Practice Location

Address
625 E BROADWAY AVE
State
Wyoming
ZIP Code
83001-8642
Phone
(307) 733-3636

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Registered Nurse First AssistantRegistered Nurse First Assistant

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