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Individual

TRAVIS FONTENETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1010 ARLENE BOYER RD, SAINT MARTINVILLE, LA 70582-3507
(337) 486-7064
Mailing address
1010 ARLENE BOYER RD, SAINT MARTINVILLE, LA 70582-3507

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
03/07/2023
Last updated
03/07/2023
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