BRANDY FONTENOT

LAKE CHARLES, LA
NPI1205425154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  219160)
Enumeration Date2021-01-14
Last Update Date2026-03-21
Business Address
BRANDY FONTENOT
801 W BAYOU PINES DR
LAKE CHARLES, LA 70601-7076
Phone number: 337-404-4075
Mailing Address
BRANDY FONTENOT
801 W BAYOU PINES DR
LAKE CHARLES, LA 70601-7076
Phone number: 337-404-4075
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