NPI | 1124434428 |
---|---|
Entity Type | Organization |
Authorized Contact | M'LISS E. HOGAN Manager/Agent 985-898-1106 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: LA MD.203311) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2014-07-08 |