| NPI | 1528474913 |
|---|---|
| Doing Business As | RIDER SHAINE E MBR |
| Entity Type | Organization |
| Authorized Contact | SHAINE RIDER Owner 337-480-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1216) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |