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Organization

DR SUZANNE P DARDEAU A COMMUNITY CHIROPRACTIC CORP

Active
Other names
Community Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUZANNE P DARDEAU DC (OWNER PRESIDENT)
(337) 989-8568
Entity
Organization

Contact information

Practice address
2801 KALISTE SALOOM RD, SUITE 200, LAFAYETTE, LA 70508-7181
(337) 989-8568
(337) 989-7036
Mailing address
2801 KALISTE SALOOM RD, SUITE 200, LAFAYETTE, LA 70508-7181
(337) 989-8568
(337) 989-7036

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
926
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1956147
LA
Enumeration date
03/15/2007
Last updated
08/22/2020
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