Individual
DR. FRED PAUL RODRIGUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
229 S JEFFERSON AVE, PORT ALLEN, LA 70767-3059
(225) 336-1920
(225) 343-8399
Mailing address
14249 HEATHERTON AVE, PRIDE, LA 70770-9720
(225) 336-1920
(225) 343-8399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1170
LA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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