THEA PENNYWELL, PA

PA

Physician Assistant

NPI: 1295038149Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA200405(LA)

Contact & Hours

Address: 7925 YOUREE DR, SUITE 220
SHREVEPORT, LA 71105
Phone: (318) 424-3400

Quick Facts

NPI: 1295038149
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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