Individual
JD FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 W PARKWOOD AVE, FRIENDSWOOD, TX 77546-5405
(281) 996-9971
Mailing address
559 BIRDSONG DR, LEAGUE CITY, TX 77573-2543
(409) 996-5616
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
41307
TX
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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