Individual
BRANDON A VENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1611 JIMMIE DAVIS HWY, SUITE C, BOSSIER CITY, LA 71112-4556
(318) 752-1201
(318) 752-1203
Mailing address
1611 JIMMIE DAVIS HWY, SUITE C, BOSSIER CITY, LA 71112-4556
(318) 752-1201
(318) 752-1203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1625
LA
111NN1001X
Nutrition Chiropractor
1625
LA
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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