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Mary Necoloa Fontenot
Vehicle Modifications Contractor in Lake Charles, Louisiana
NPI 1346744042

Mary Necoloa Fontenot is a Vehicle Modifications Contractor based in Lake Charles, LA and is specialized in Vehicle Modifications. Mary Necoloa Fontenot practices in Lake Charles, LA. The NPI Number for Mary Necoloa Fontenot is 1346744042 and holds a License No. 008907424 (Louisiana).

The current practice location address for Mary Necoloa Fontenot is 1324 Rosetta St, Lake Charles, LA and can be reached out via phone at 337-912-8617.

Location: 1324 Rosetta St, Lake Charles, LA, 70607-1932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346744042
Provider Name
Mary Necoloa Fontenot
Credential
Provider Entity Type
Individual
Gender
Female
Address
1324 Rosetta St, Lake Charles, LA, 70607-1932
Phone Number
337-912-8617
Fax Number
Provider Enumeration Date
03/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
882717925 05 LA
institution
Provider Business Practice Location Address Details
Address
1324 Rosetta St
City
Lake Charles
State
Louisiana
Zip
70607-1932
Phone Number
337-912-8617
Fax Number
person
Provider Business Mailing Address Details
Address
1324 Rosetta St
City
Lake Charles
State
Louisiana
Zip
70607-1932
Phone Number
337-912-8617
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Vehicle Modifications
Taxonomy
171WV0202X
License No.
008907424 (Louisiana)
Definition
A contractor who makes modifications to private vehicles to accommodate a health condition.
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