Organization
DELMARVA SURGICAL ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISETTE VAZQUEZ NP (OWNER, PRESIDENT)
(443) 362-0155
Entity
Organization
Contact information
Practice address
8837 ROUNDHOUSE CIR, EASTON, MD 21601-7903
(443) 362-0155
Mailing address
8837 ROUNDHOUSE CIR, EASTON, MD 21601-7903
(443) 362-0155
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
R172165
MD
363LF0000X
Family Nurse Practitioner
Primary
R172165
MD
Other
Enumeration date
08/25/2011
Last updated
12/02/2014
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