JEROME PAUL WOLLFARTH

COVINGTON, LA
NPI1558432583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: LA  06427)
Enumeration Date2006-11-13
Last Update Date2007-11-20
Business Address
Mr. JEROME PAUL WOLLFARTH P.T.
340 FALCONER DR
COVINGTON, LA 70433
Phone number: 985-893-2845
Mailing Address
Mr. JEROME PAUL WOLLFARTH P.T.
22056 SPRING CLOVER LN
COVINGTON, LA 70435-6738
Phone number: 985-893-2845
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