Organization
BAYOU CHIROCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACINDA HARDEN (VICE-PRESIDENT)
(281) 546-2756
Entity
Organization
Contact information
Practice address
107 1ST AVE., KINDER, LA 70648
(337) 738-4118
Mailing address
6158 HIGHWAY 26, JENNINGS, LA 70546-8141
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1601
LA
Other
Enumeration date
03/29/2012
Last updated
04/16/2012
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