Individual
MR. TIMOTHY JOHN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
405 N LEWIS ST, NEW IBERIA, LA 70563-2013
(337) 364-2225
Mailing address
405 N LEWIS ST, NEW IBERIA, LA 70563-2013
(337) 364-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
782
LA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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