Organization
PELICAN STATE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE VIALIZ (BILLING MANAGER)
(703) 738-9955
Entity
Organization
Contact information
Practice address
805 PRAIRIE ST, WINNSBORO, LA 71295-2631
(318) 237-6396
Mailing address
PO BOX 2537, MONROE, LA 71207-2537
(318) 237-6396
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
540
LA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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