ALIVIA FONTENOT

OPELOUSAS, LA
NPI1164989059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  204083)
Enumeration Date2019-02-27
Last Update Date2019-03-06
Business Address
ALIVIA FONTENOT NP
2362 LARKSPUR LN
OPELOUSAS, LA 70570-8674
Phone number: 337-594-0675
Mailing Address
ALIVIA FONTENOT NP
2362 LARKSPUR LN
OPELOUSAS, LA 70570-8674
Phone number: 337-594-0675