Search › Louisiana › 171M00000X
Glenn Fondal
NPI 1477062974 · on the registry since 2017
Practice
- Address
- 825 Center St Ste A
New Iberia, LA 70560 - Phone
- (337) 551-4630
- Organisation at this address
- New Life Recovery Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2018-08-30
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