Most Relevant Information
Provider Data
NPI Number: | 1003226366 |
Provider Name: | TRYSTLE BRIDGES |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 05/07/2014 |
Last Updated: | 05/07/2014 |
Provider Practice Location
1701 WHITE ST
MCCOMB
MS
396482711
Practice Location Phone/Fax
Phone: | 6012494217 |
Fax: | 6012494234 |
Provider Mailing Location
1701 WHITE ST
MCCOMB
MS
396482711
Provider Mailing Phone/Fax
Phone: | 6012494217 |
Fax: | 6012494234 |