MATTHEW ALAN PENNYWELL

SHREVEPORT, LA
NPI1093971509
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy227900000X Respiratory Therapist, Registered
(Licence: LA  L03713)
Enumeration Date2008-08-04
Last Update Date2008-08-04
Business Address
Mr. MATTHEW ALAN PENNYWELL RT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Mr. MATTHEW ALAN PENNYWELL RT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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