| NPI | 1497231633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON LEE RACCA Owner/Chiropractor 337-502-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1678) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |