Individual
JOE H WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 S MARKET ST, OPELOUSAS, LA 70570-5139
(337) 948-1856
(337) 948-1262
Mailing address
215 S MARKET ST, OPELOUSAS, LA 70570-5139
(337) 948-1856
(337) 948-1262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
188
LA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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