Individual
FONDA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 W MAIN ST, WINNFIELD, LA 71483-2786
(318) 628-2148
(318) 628-6822
Mailing address
1378 HIGHWAY 505, DODSON, LA 71422-3546
(318) 628-3079
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN041436
LA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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