Individual
MARLA FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 KILPATRICK BLVD STE 100, MONROE, LA 71201-5156
(318) 325-8050
Mailing address
3100 KILPATRICK BLVD STE 100, MONROE, LA 71201-5156
(318) 325-8050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
981035
LA
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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