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 Date2023-06-14
Business Address
BRANDY FONTENOT
630 BRIARWOOD DR
LAKE CHARLES, LA 70605-1518
Phone number: 337-526-1364
Mailing Address
BRANDY FONTENOT
630 BRIARWOOD DR
LAKE CHARLES, LA 70605-1518
Phone number:
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