Mallory Noel Fontenot

NPI #1114768447 in Morgan City, Louisiana

Provider Information

NPI Number: 1114768447
Entity Type: Individual
Name: Mallory Noel Fontenot
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 3, 2024
Last Updated: Jun 3, 2024

Practice Location

Address: 3214 VINE DR
City: Morgan City
State: Louisiana
ZIP Code: 70380-1667
Phone: (985) 519-6006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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