| NPI | 1235478249 |
|---|---|
| Doing Business As | 17TH STREET CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | RODRIGO TAVORA OLIVEIRA CEO 504-453-6244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32406) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |