Individual
DR. JONATHAN JAMES BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3742 HIGHWAY 1, RACELAND, LA 70394-3141
(985) 537-7187
(985) 537-7188
Mailing address
3742 HIGHWAY 1, RACELAND, LA 70394-3141
(985) 537-7187
(985) 537-7188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
10980
TX
111N00000X
Chiropractor
Primary
1496
LA
Other
Enumeration date
02/22/2009
Last updated
05/21/2009
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