| NPI | 1699989129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NED JOSEPH MARTELLO First Manager Member 225-754-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 865) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |