| NPI | 1861876328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTAL CHARBONNET Provider/Owner 504-460-0987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N006465) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |