Individual
DR. SHAINE EMANUEL RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4451 NELSON RD, LAKE CHARLES, LA 70605-4136
(337) 480-0027
(337) 480-0499
Mailing address
4451 NELSON RD, LAKE CHARLES, LA 70605-4136
(337) 480-0027
(337) 480-0499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1216
LA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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