Individual
KAMILLA FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 RUE JOLIE BLONDE ST, MAMOU, LA 70554
(337) 831-3239
Mailing address
220 RUE JOLIE BLONDE ST, MAMOU, LA 70554
(337) 831-3239
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9868
LA
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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