Krystle Danelle Chase-Circello, PA

NPI #1306399712 in Innis, Louisiana

Provider Information

NPI Number
1306399712
Entity Type
Individual
Name
Krystle Danelle Chase-Circello, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Aug 2, 2016
Last Updated
May 5, 2017

Practice Location

Address
6450 LOUISIANA HIGHWAY 1
City
Innis
ZIP Code
70747
Phone
(225) 492-3775

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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