Individual
MS. JOYCE J FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPMSM, CPCS
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
Mailing address
2331 POWER CENTRE PKWY, # 1302, LAKE CHARLES, LA 70607-2165
(337) 439-9983
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
MEDICAL STAFF COORDINATOR
MD
Enumeration date
01/15/2015
Last updated
01/15/2015
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