NPI | 1992093009 |
---|---|
Entity Type | Organization |
Authorized Contact | LADELLE RENE DUNLAP Chiropractor 985-384-2757 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 509) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2011-07-11 |