Individual
RYAN JOSEPH VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
326 SETTLERS TRACE BLVD # 201-C, LAFAYETTE, LA 70508-6091
(337) 270-0900
(337) 270-0901
Mailing address
326 SETTLERS TRACE BLVD # 201-C, LAFAYETTE, LA 70508-6091
(337) 270-0900
(337) 270-0901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1284
LA
Other
Enumeration date
02/02/2007
Last updated
08/26/2021
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