Individual
JANET FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3236 KIRKMAN ST, LAKE CHARLES, LA 70601-8640
(337) 480-2620
(337) 475-4820
Mailing address
321 LAKEVIEW LOOP, KINDER, LA 70648-5102
(337) 738-4272
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN071541
LA
Other
Enumeration date
06/13/2012
Last updated
07/05/2016
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