Louisiana
Board of Licensing
Fontenot Juanita Ann
Medical
License number
CLP.203110-PHL
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Lakeshore Drive; Ste. 105, LA 70629
louisianalicensing.com
ID 21840123
LAST UPDATED 2026-07-06 03:08:31 UTC
LAST UPDATED 2026-07-06 03:08:31 UTC