Individual
DR. JEANNIE MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
908 S 10TH ST, LEESVILLE, LA 71446-4614
(337) 404-4084
(337) 392-2580
Mailing address
1250 BELVIEW RD, LEESVILLE, LA 71446-8736
(337) 208-9220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1798
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-3415188
BCBS
LA
Enumeration date
01/19/2018
Last updated
01/19/2018
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