Individual
DR. JOHN RICHARD WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
722 PHOSPHOR AVE, MATAIRIE, LA 70005
(504) 289-4344
(504) 832-8149
Mailing address
PO BOX 2516, MANDEVILLE, LA 70470
(504) 289-4544
(504) 832-8149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
408
LA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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