PROVANCE CHIROPRACTIC SPORT, FAMILY & REHAB

METAIRIE, LA
NPI1790917490
Entity TypeOrganization
Authorized ContactGERRY G PROVANCE
Co Owner
504-456-9296
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: LA  414)
Enumeration Date2009-08-13
Last Update Date2015-05-15
Business Address
PROVANCE CHIROPRACTIC SPORT, FAMILY & REHAB
2007 CLEARVIEW PKWY
METAIRIE, LA 70001-2404
Phone number: 504-456-9296
Mailing Address
PROVANCE CHIROPRACTIC SPORT, FAMILY & REHAB
2007 CLEARVIEW PKWY
METAIRIE, LA 70001-2404
Phone number: 504-456-9296
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