Organization
RENEW PODIATRY FOOTCARE AND AESTHETICS MEDSPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIELLE SHARON CLARK DPM (PODIATRIST)
(504) 231-7147
Entity
Organization
Contact information
Practice address
7501 TRAPIER AVE, NEW ORLEANS, LA 70127-1639
(504) 231-7147
Mailing address
7501 TRAPIER AVE, NEW ORLEANS, LA 70127-1639
(504) 231-7147
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
SC006698
PA
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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