Renew Podiatry Footcare and Aesthetics Medspa LLC
NPI #1063877504 in New Orleans, Louisiana
Provider Information
- NPI Number
- 1063877504
- Entity Type
- Organization
- Organization Name
- Renew Podiatry Footcare and Aesthetics Medspa LLC
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Dec 29, 2015
- Last Updated
- Dec 29, 2015
Practice Location
- Address
- 7501 TRAPIER AVE
- City
- New Orleans
- State
- Louisiana
- ZIP Code
- 70127-1639
- Phone
- (504) 231-7147
Authorized Official
- Name
- DR. GABRIELLE SHARON CLARK, DPM
- Title
- PODIATRIST
- Phone
- (504) 231-7147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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