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RICCO V IMPASTATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
826 FOCIS ST, METAIRIE, LA 70005-2200
(504) 456-8560
(504) 456-8562
Mailing address
3440 DIVISION ST, SUITE E, METAIRIE, LA 70002
(504) 456-8560
(504) 456-8562

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1377
LA

Other

Enumeration date
04/04/2006
Last updated
01/22/2018
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