IndividualActive
Mary Fontenot
NPI 1346744042 · Vehicle Modifications Contractor · Lake Charles, LA
Provider details
- NPI number
- 1346744042
- Entity type
- Individual
- Primary specialty
- Vehicle Modifications ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 008907424 (LA)
Specialties & taxonomies
Other Service Providers
Practice location
1324 Rosetta St
Lake Charles, LA 70607-1932
Phone: (337) 912-8617
Approximate (ZIP-level) locationGet directions
Mailing address
1324 Rosetta St
Lake Charles, LA 70607-1932
Registry dates
- Enumerated
- 2018-03-19
- Last updated
- 2018-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.