Individual
MRS. SHARON R FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17756 LAKE VISTA DR, GREENWELL SPRINGS, LA 70739-4759
(225) 205-0934
Mailing address
17756 LAKE VISTA DR, GREENWELL SPRINGS, LA 70739-4759
(225) 205-0934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN079143
LA
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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