Individual
SHELLEY RADOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1357 N CAUSEWAY BLVD, STE 2, MANDEVILLE, LA 70471-3408
(985) 778-0880
(985) 778-0882
Mailing address
1357 N CAUSEWAY BLVD, STE 2, MANDEVILLE, LA 70471-3408
(985) 778-7965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1388
LA
Other
Enumeration date
03/08/2007
Last updated
07/29/2016
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