Individual
LISA CHASCSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 ARCH ST, DELRAN, NJ 08075-1111
(856) 952-9953
Mailing address
519 ARCH ST, DELRAN, NJ 08075-1111
(856) 952-9953
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI00721700
NJ
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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