Search › Arkansas › 104100000X
Ricky Fontenette
NPI 1508608662 · on the registry since 2024 · sole proprietor
Practice
- Address
- Po Box 1400
Little Rock, AR 72203 - Phone
- (501) 372-5039
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 171M00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-18
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 Arkansas