Individual
NORMA ELIZABETH WOLVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3612 FLORIDA AVE, KENNER, LA 70065-3436
(504) 712-0700
(504) 305-8258
Mailing address
103 GAIL DR, LA PLACE, LA 70068-6478
(504) 712-0700
(504) 305-8258
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LA1137
LA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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