Individual
MRS. SYDNEY MORALES FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1924 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4131
(337) 240-8162
Mailing address
PO BOX 4023, LAKE CHARLES, LA 70606-4023
(337) 426-8898
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
213346
LA
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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