Individual
RAMONA FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 THE BLVD, RAYNE, LA 70578-6219
(337) 334-6608
Mailing address
1204 THE BLVD, RAYNE, LA 70578-6219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15627
LA
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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