Individual
DR. JONNY DAVID ROBERTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2163 GAUSE BLVD W, STE 4, SLIDELL, LA 70460-4132
(504) 662-1544
(504) 335-0740
Mailing address
60154 NINA DR, LACOMBE, LA 70445-3938
(504) 913-3031
(504) 335-0740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1661
LA
111NN1001X
Nutrition Chiropractor
1661
LA
Other
Enumeration date
10/22/2012
Last updated
08/12/2024
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