HOLLY A FONTENOT UMFRID

LAKE CHARLES, LA
NPI1447398631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  RN097876 AP04679)
Enumeration Date2007-02-01
Last Update Date2019-11-14
Business Address
HOLLY A FONTENOT UMFRID APRN
109 EXECUTIVE DR
LAKE CHARLES, LA 70611-5328
Phone number: 337-217-0922
Mailing Address
HOLLY A FONTENOT UMFRID APRN
393 ROYER LOOP
SULPHUR, LA 70663-0217
Phone number: 337-831-5914
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