JENNA ELIZABETH PENTECOST WILLIFORD

ALEXANDRIA, LA
NPI1275885071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200555)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: LA  PA 200555)
Enumeration Date2012-10-04
Last Update Date2014-03-05
Business Address
-- JENNA ELIZABETH PENTECOST WILLIFORD PA-C
3802 PRESCOTT RD.
ALEXANDRIA, LA 71301
Phone number: 318-487-6060
Mailing Address
-- JENNA ELIZABETH PENTECOST WILLIFORD PA-C
3802 PRESCOTT RD.
ALEXANDRIA, LA 71301
Phone number: 318-487-6060