Provider First Line Business Practice Location Address:
MOSS BLUFF CHIROPRACTIC CLINIC 119 TAHOE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKE CHARLES
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70611-5109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-855-6306
Provider Business Practice Location Address Fax Number:
337-855-7012
Provider Enumeration Date:
10/05/2006