Organization
WILLIAM DEAN FONTENOT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DEAN FONTENOT CRNA (PRESIDENT)
(337) 616-7150
Entity
Organization
Contact information
Practice address
1634 ELTON RD, JENNINGS, LA 70546-3614
(337) 616-7150
(337) 616-7164
Mailing address
526 MAY ST, JENNINGS, LA 70546-4842
(337) 616-7150
(337) 616-7164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38458
LA
Other
Enumeration date
07/22/2006
Last updated
10/05/2007
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