Broussard Chiropractic Center, Inc

NPI 1366590648 - Chiropractor - 111N00000X

NPI Details
NPI 1366590648
Enumeration Date 01/05/2007
Last Updated 07/26/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LATRESIA GRACE LATRESIA
Position CHIROPRACTOR
Phone (225) 618-8016
Fax (225) 618-8028
Practice Location
331 HOSPITAL RD
NEW ROADS LA, 70760-2622, US
Phone (225) 618-8016
Fax (225) 618-8028
Business Location
331 HOSPITAL RD
NEW ROADS LA, 70760-2622, US
Phone (225) 618-8016
Fax (225) 618-8028
Toxanomy
Taxonomy Code 111N00000X
License State Louisiana
License Number 1307
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According to our database, Broussard Chiropractic Center, Inc NPI is 1366590648, taxonomy code is 111N00000X and license number is 1307, license state is located at Louisiana. Broussard Chiropractic Center, Inc physically located at 331 Hospital Rd, New Roads LA, 70760-2622. NPI Number 1033115704 has the healthcare provider type.

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1366590648 NPI number is provided on an as is basis without warranty of any kind. 1366590648 is maintained by the National Plan & Provider Enumeration System. The contents of Broussard Chiropractic Center, Inc are for informational purposes only.