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Mallory Fontenot

NPI 1114768447 · on the registry since 2024

Practice

Address
3214 Vine Dr
Morgan City, LA 70380
Phone
(985) 519-6006

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Sex
Female
Record last updated
2024-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana