Individual
CHRISTOPHER ROSS BURKENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 MELODY DR, METAIRIE, LA 70002-6306
(985) 705-4168
Mailing address
612 MELODY DR, METAIRIE, LA 70002-6306
(985) 705-4168
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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