Individual
JEREMY DAVID RAWLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
212 N FRONT ST, OAK GROVE, LA 71263
(318) 428-8450
Mailing address
PO BOX 364, OAK GROVE, LA 71263-0364
(318) 428-8450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1648
LA
Other
Enumeration date
08/06/2012
Last updated
09/12/2012
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