MICKEY FONSECA

HOUMA, LA
NPI1689931529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-04-17
Last Update Date2012-04-17
Business Address
-- MICKEY FONSECA
420 MAGNOLIA ST
HOUMA, LA 70360-6304
Phone number: 985-879-3966
Mailing Address
-- MICKEY FONSECA
420 MAGNOLIA ST
HOUMA, LA 70360-6304
Phone number: 985-879-3966
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