IVA D FONTENOT

EDINBURG, TX
NPI1992866503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  582381)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- IVA D FONTENOT CRNA
3513 W ALBERTA RD
EDINBURG, TX 78539-8466
Phone number: 956-664-9773
Mailing Address
-- IVA D FONTENOT CRNA
PO BOX 720550
MCALLEN, TX 78504-0550
Phone number: 956-664-9771
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