Individual
DERREK LEONARD MART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
28470 LA 43 HWY, SUITE B, ALBANY, LA 70711-4322
(225) 567-6651
Mailing address
10920 AIRLINE HWY APT 145, BATON ROUGE, LA 70816-4288
(337) 802-2608
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1701
LA
Other
Enumeration date
04/02/2014
Last updated
12/02/2014
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