ELISE FONTENOT EDWARDS

BOSSIER CITY, LA
NPI1780048587
Former NameELISE MARIE FONTENOT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: LA  312926)
Enumeration Date2016-04-07
Last Update Date2021-07-06
Business Address
ELISE FONTENOT EDWARDS MD
2300 HOSPITAL DR STE 120
BOSSIER CITY, LA 71111-2193
Phone number: 318-212-7982
Mailing Address
ELISE FONTENOT EDWARDS MD
2300 HOSPITAL DR STE 120
BOSSIER CITY, LA 71111-2193
Phone number: 318-212-7982
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