Organization
STUDIO CHIRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY RADOSTA D.C. (MEMBER MANAGER)
(985) 626-6109
Entity
Organization
Contact information
Practice address
1138 S CARROLLTON AVE, NEW ORLEANS, LA 70118-2024
(985) 778-7965
Mailing address
460 RED MAPLE DR, MANDEVILLE, LA 70448-6280
(985) 778-7965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
06/13/2008
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