Individual
JERRY JOSEPH FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 ONEAL LN APT 214, BATON ROUGE, LA 70816-3411
(225) 931-2760
Mailing address
2525 ONEAL LN APT 214, BATON ROUGE, LA 70816-3411
(225) 931-2760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA8481
LA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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