NICOLE SUBERVILLE WASCOM

ABITA SPRINGS, LA
NPI1982807632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: LA  5288)
Enumeration Date2007-06-08
Last Update Date2007-07-08
Business Address
-- NICOLE SUBERVILLE WASCOM D.D.S.
22464 HIGHWAY 435
ABITA SPRINGS, LA 70420-2206
Phone number: 985-893-7835
Mailing Address
-- NICOLE SUBERVILLE WASCOM D.D.S.
22464 HIGHWAY 435
ABITA SPRINGS, LA 70420-2206
Phone number: 985-893-7835