Individual
BRUCE ANGELO LACASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1924 2ND AVE, TOMS RIVER, NJ 08757-3619
(732) 779-6865
Mailing address
1924 2ND AVE, TOMS RIVER, NJ 08757-3619
(732) 779-6865
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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