DIANA FONTENOT ROY

LAFAYETTE, LA
NPI1235129727
Professional NameDIANA FONTENOT ROY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: LA  36487)
Enumeration Date2005-10-26
Last Update Date2007-07-08
Business Address
-- DIANA FONTENOT ROY crna
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6272
Mailing Address
-- DIANA FONTENOT ROY crna
104 MISSION HILLS
BROUSSARD, LA 70518
Phone number: 337-856-0747