Individual
ALI FONTANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
110 BOWIE RD, THIBODAUX, LA 70301-6703
(985) 447-8181
Mailing address
PO BOX 471, THIBODAUX, LA 70302-0471
(985) 447-8181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN139516
LA
Other
Enumeration date
03/22/2016
Last updated
10/04/2022
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