Individual
KATHERINE WONCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4050 LONESOME ROAD, SUITE A, MANDEVILLE, LA 70448
(985) 626-5568
(985) 777-9090
Mailing address
4050 LONESOME ROAD, SUITE A, MANDEVILLE, LA 70448
(985) 626-5568
(985) 777-9090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1360-494T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477648
—
LA
Enumeration date
05/12/2008
Last updated
03/14/2024
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