Candace Fairchild Bozeman, DC
Chiropractor in Walker, LA. Individual provider (NPI-1).
NPI number1124535802
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1124535802
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Candace Fairchild Bozeman
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2018
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 1806 | LA | Yes |
Other names
- Candace A Fairchild (Former Name)
Practice location
27999 Old Sth Walker Rd Ste BWalker, LA 70785-6048
Phone 225-271-4083
Mailing address
26509 Greenwood DrDenham Springs, LA 70726-6550
Phone 225-324-4308
Other practice locations
26509 Greenwood Dr
Denham Springs, LA 70726-6550
Denham Springs, LA 70726-6550
Phone 225-324-4308
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