| NPI | 1598246795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY PAUL VITENAS Managing Member 504-259-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1841) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |