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DOMONIQUE LENET FONTENOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4201 GARTH RD, BAYTOWN, TX 77521-3167
(281) 428-4510
Mailing address
7914 SARAH LN, BAYTOWN, TX 77521-7305

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP145001
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP145001
TX

Other

Enumeration date
04/08/2020
Last updated
03/21/2023
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