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Individual

MS. CYNTHIA B. FONTENOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CNMT

Contact information

Practice address
408 5TH ST, MAMOU, LA 70554-3712
(337) 468-7253
(337) 468-7253
Mailing address
408 5TH ST, MAMOU, LA 70554-3712
(337) 468-7253
(337) 468-7253

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
LA1052
LA

Other

Enumeration date
09/19/2008
Last updated
09/19/2008
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