Organization
REJUVENATE HEALTH CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATHENA MARIE PAYNE D.C. (OWNER/CHIROPRACTOR)
(337) 802-6497
Entity
Organization
Contact information
Practice address
751 BAYOU PINES EAST DR, SUITE R, LAKE CHARLES, LA 70601-7196
(337) 802-6497
Mailing address
1717 E BELT LINE RD, APT 924, COPPELL, TX 75019-4231
(337) 802-6497
(972) 947-3992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1556
LA
Other
Enumeration date
03/20/2010
Last updated
03/20/2010
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