| NPI | 1073112777 |
|---|---|
| Doing Business As | RCH PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | RAVEN HENDERSON Owner 347-746-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2023-04-26 |