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Organization

ENLIGHTENED CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY PAUL VITENAS DC (MANAGING MEMBER)
(504) 259-0780
Entity
Organization

Contact information

Practice address
2701 AIRLINE DR STE E, METAIRIE, LA 70001-7213
(504) 323-4956
Mailing address
22 RED OAK DR, KENNER, LA 70065-6643
(504) 259-0780

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1841
LA

Other

Enumeration date
08/24/2018
Last updated
08/24/2018
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