Provider First Line Business Practice Location Address:
5619 MAGAZINE ST
Provider Second Line Business Practice Location Address:
C/O OPTIMAL KINETICS, LLC
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70115-3153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-214-7999
Provider Business Practice Location Address Fax Number:
504-754-7962
Provider Enumeration Date:
07/23/2009