Brandy Fontenot

NPI #1124559703 in Port Neches, Texas

Provider Information

NPI Number: 1124559703
Entity Type: Individual
Name: Brandy Fontenot
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Mar 24, 2017
Last Updated: Mar 24, 2017

Practice Location

Address: 2645 NALL ST
City: Port Neches
State: Texas
ZIP Code: 77651-4707
Phone: (409) 210-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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