JAKE FONTENOT

OPELOUSAS, LA
NPI1326551573
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-11-09
Last Update Date2018-08-08
Business Address
JAKE FONTENOT
1238 EDITH ST
OPELOUSAS, LA 70570
Phone number: 337-942-9292
Mailing Address
JAKE FONTENOT
1238 EDITH ST
OPELOUSAS, LA 70570-5917
Phone number: 337-942-9292