Individual provider · Type 1 NPI
Mallory Noel Fontenot
Student in an Organized Health Care Education/Training Program · Morgan City, LA
NPI number
1114768447
Active
Practice location
3214 Vine Dr
Morgan City, LA 70380-1667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Morgan City
About NPI 1114768447
Mallory Noel Fontenot's National Provider Identifier is 1114768447, issued on Jun 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgan City, LA. The record was last updated on Jun 3, 2024.