Individual
ALIVIA FONTENOT GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1535 W MAIN STREET, VILLE PLATTE, LA 70586
(375) 062-2943
(929) 259-5972
Mailing address
1535 W MAIN STREET, VILLE PLATTE, LA 70586
(337) 506-2294
(929) 259-5972
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
204083
LA
Other
Enumeration date
02/27/2019
Last updated
07/31/2024
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