Individual
TRISH EVON FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
106 HEYMANN BLVD, LAFAYETTE, LA 70503-2322
(337) 504-4279
Mailing address
106 HEYMANN BLVD, LAFAYETTE, LA 70503-2322
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
221340
LA
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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