(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003294919
Provider Name: JEREMY BROUSSARD D.C.
Entity Type: Individual
Taxonomy Code: 111N00000X
Specialty: Chiropractor
License Number: 1741
Most Important Dates
Enumeration Date: 05/12/2015
Last Updated: 05/12/2015
Provider Practice Location
612 RUE DE ONETTA
NEW IBERIA
LA
705632163
Practice Location Phone/Fax
Phone: 3373676649
Fax:
Provider Mailing Location
612 RUE DE ONETTA
NEW IBERIA
LA
70563
Provider Mailing Phone/Fax
Phone: 3373676649
Fax: