Individual
CARLOS JUAN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3638 W ESPLANADE AVE S, METAIRIE, LA 70002-3226
(504) 456-0799
(504) 456-0799
Mailing address
3638 W ESPLANADE AVE S, METAIRIE, LA 70002-3226
(504) 456-0799
(504) 456-0799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
972
LA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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