| NPI | 1811213531 |
|---|---|
| Doing Business As | ADVANCED CHIROPRACTIC AND SPORTS REHABILITATION CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERRILYNN J PRIMEAUX Chiropractor 337-306-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1504) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2015-10-05 |