Individual
DELANA PATRICS FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2438 JAKE DR APT 4B, OPELOUSAS, LA 70570-7719
(337) 278-6554
Mailing address
2438 JAKE DR APT 4B, OPELOUSAS, LA 70570-7719
(337) 278-6554
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
270083
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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