Most Relevant Information
Provider Data
| NPI Number: | 1003343443 |
| Provider Name: | ANTHONY FONTENOT |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1238 EDITH ST
OPELOUSAS
LA
70570
Practice Location Phone/Fax
| Phone: | 3379429292 |
| Fax: |
Provider Mailing Location
1238 EDITH ST
OPELOUSAS
LA
705705917
Provider Mailing Phone/Fax
| Phone: | 3379429292 |
| Fax: |