HOLLY FONTENOT

SHREVEPORT, LA
NPI1174362529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-23
Last Update Date2024-05-23
Business Address
HOLLY FONTENOT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-2293
Mailing Address
HOLLY FONTENOT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number:
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