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BRANDY FONTENOT
Nurse Practitioner
NPI: 1205425154IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
219160(LA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 630 BRIARWOOD DR
LAKE CHARLES, LA 70605 - Phone
- (337) 526-1364
Quick Facts
- NPI
- 1205425154
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 6
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