Individual
MR. ROBERT MARK BOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
369 W ESPLANADE AVE, KENNER, LA 70065-2541
(504) 466-5400
Mailing address
369 W ESPLANADE AVE, KENNER, LA 70065-2541
(504) 466-5400
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
30449
LA
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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