Individual
TREVENE RAVEN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6935 OLD CANTON RD STE A, RIDGELAND, MS 39157-1284
(601) 956-6050
(601) 952-0738
Mailing address
6935 OLD CANTON RD STE A, RIDGELAND, MS 39157-1284
(601) 956-6050
(601) 952-0738
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1377
MS
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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