Organization
THE WELLNESS CENTER ON THE NORTHSHORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY RADOSTA DC (MEMBER MANAGER)
(985) 778-7965
Entity
Organization
Contact information
Practice address
1775 LABARRE ST, MANDEVILLE, LA 70448-3944
(985) 778-7965
Mailing address
1138 S CARROLLTON AVE, NEW ORLEANS, LA 70118-2024
(985) 778-7965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1388
LA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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