| NPI | 1215507223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA MARTIN BIURGEOIS Managing Member 225-766-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |