Individual
DR. JASON WARD PREVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
313 MAGNOLIA KNEE DR, CARENCRO, LA 70520-6189
(337) 565-7140
Mailing address
313 MAGNOLIA KNEE DR, CARENCRO, LA 70520-6189
(337) 565-7140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1393
LA
Other
Enumeration date
07/12/2015
Last updated
07/12/2015
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