Organization
PELLOQUIN CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN PELLOQUIN D.C. (OWNER)
(337) 298-0154
Entity
Organization
Contact information
Practice address
1606A SAINT MARY ST, SCOTT, LA 70583-5157
(337) 298-0154
(337) 432-5467
Mailing address
1606A SAINT MARY ST, SCOTT, LA 70583-5157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1503
LA
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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