Individual
BRANDON FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
644 S FLANNERY RD, BATON ROUGE, LA 70815-6428
(225) 978-0990
Mailing address
644 S FLANNERY RD, BATON ROUGE, LA 70815-6428
(225) 978-0990
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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