CRYSTAL ARDOIN FONTENOT

LAKE CHARLES, LA
NPI1568697563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: LA  RN103946-AP05780)
Enumeration Date2009-05-19
Last Update Date2011-11-04
Business Address
-- CRYSTAL ARDOIN FONTENOT NP
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601-2641
Phone number: 337-439-9983
Mailing Address
-- CRYSTAL ARDOIN FONTENOT NP
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601-2641
Phone number: 337-439-9983