Individual
DR. RITA RAE FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1403 BEECH ST, WESTLAKE, LA 70669-4101
(337) 540-0530
Mailing address
PO BOX 482, WESTLAKE, LA 70669-0482
(337) 540-0530
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD 076R
LA
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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