Individual
KAILA WILDES MANSHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8575 FERN AVE STE 101, SHREVEPORT, LA 71105-5677
(318) 797-2587
Mailing address
10115 SCARLET OAKS DR, KEITHVILLE, LA 71047-7560
(318) 470-1554
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1937
LA
Other
Enumeration date
01/17/2022
Last updated
08/23/2024
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