Organization
HEALTHSOURCE OF MANDEVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART B FRESH DC (OWNER)
(985) 259-7774
Entity
Organization
Contact information
Practice address
2480 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-1867
(985) 634-1112
Mailing address
2480 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-1867
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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