SUMMER WOLF

JEFFERSON, LA
NPI1801696992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  213375)
Enumeration Date2025-03-17
Last Update Date2025-03-31
Business Address
SUMMER WOLF
1515 RIVER RD
JEFFERSON, LA 70121-4227
Phone number: 866-624-7637
Mailing Address
SUMMER WOLF
9909 JOEL AVE
RIVER RIDGE, LA 70123-1509
Phone number: 504-905-0058