Individual
DR. JEBADIAH CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
704 POINCIANA AVE STE C, MAMOU, LA 70554-2224
(337) 468-3337
(337) 468-3422
Mailing address
704 POINCIANA AVE STE C, MAMOU, LA 70554-2224
(337) 468-3337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
12921
TX
111N00000X
Chiropractor
Primary
1830
LA
Other
Enumeration date
06/12/2015
Last updated
08/12/2020
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