Individual
DR. FREDERIC RYAN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
903 W THOMAS ST, HAMMOND, LA 70401-3037
(985) 542-6400
(985) 542-6403
Mailing address
903 W THOMAS ST, HAMMOND, LA 70401-3037
(985) 542-6400
(985) 542-6403
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1515
LA
111N00000X
Chiropractor
CH9469
FL
Other
Enumeration date
02/01/2008
Last updated
07/26/2011
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