| NPI | 1669675054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J DELATTE Owner 337-269-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: LA 200512) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-03-23 |