Individual
MRS. TANICIA LANE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9025 VETERANS MEMORIAL HWY, VILLE PLATTE, LA 70586
(337) 599-2255
(337) 639-4342
Mailing address
9025 VETERANS MEMORIAL HWY, VILLE PLATTE, LA 70586
(337) 599-2255
(337) 639-4342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3936
LA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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