Individual provider · Type 1 NPI
Mary Necoloa Fontenot
Vehicle Modifications Contractor · Lake Charles, LA
NPI number
1346744042
Active
Practice location
1324 Rosetta St
Lake Charles, LA 70607-1932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vehicle Modifications Contractor Primary | 171WV0202X | 008907424 (LA) |
Vehicle Modifications Contractor: A contractor who makes modifications to private vehicles to accommodate a health condition.
Another provider at this address
About NPI 1346744042
Mary Necoloa Fontenot's National Provider Identifier is 1346744042, issued on Mar 19, 2018. The primary taxonomy on file is Vehicle Modifications Contractor (171WV0202X), and the practice location is in Lake Charles, LA. The record was last updated on Mar 19, 2018.