NPI 1114539418

Johnathan Ory Boudreaux, DC

Practitioner Chiropractor Monroe, LA

Practice location

Address: 3219 Sterlington Rd, Monroe, LA 71203-2519
Phone: (318) 387-5388

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1913 (LA)

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Registry record

NPI: 1114539418
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2020
Record last updated: 18 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.