Mary Necoloa Fontenot
NPI #1346744042 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1346744042
- Entity Type
- Individual
- Name
- Mary Necoloa Fontenot
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Contractor - Vehicle Modifications
- Enumeration Date
- Mar 19, 2018
- Last Updated
- Mar 19, 2018
Practice Location
- Address
- 1324 ROSETTA ST
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70607-1932
- Phone
- (337) 912-8617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor - Vehicle Modifications — Vehicle Modifications |
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