Individual
MISS WATFA EMILE KRAYSSA
Active
Individual
MISS WATFA EMILE KRAYSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104341
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34799
BCBS FL
FL
Enumeration date
10/09/2007
Last updated
03/09/2010
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