| NPI | 1053722173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN-CLAUDE DELA CROIX KASS Licensed Certified Surgical Assista 571-577-0361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: DC SA0078) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |