| Doctor Name: | MISS MARIA ZHEANETTE DUPONT |
| NPI Number: | 1003954439 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S.,R.T.(R)(M) |
| License Number: | 5724 |
| Business Practice Address: | 1021 Coolidge Blvd Suite 200 Lafayette, LA - 705032435 |
| Business Phone Number: | 3372310099 |
| Business Fax Number: | 3372370062 |
| Mailing Address: | 306 N Mcgown St, RAYNE |
| State: | LA |
| Postal Code: | 705787045 |
| Phone Number: | 3372310099 |
| Fax Number: | 3372370062 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 5724 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | LA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |