Individual
MRS. SHIRLEY MAY CONVERSE-FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6673 E UPLAND AVE, BATON ROUGE, LA 70812-1067
(225) 355-7156
Mailing address
6673 E UPLAND AVE, BATON ROUGE, LA 70812-1067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN089146
LA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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