PRISCILLA IHENACHO

SHREVEPORT, LA
NPI1518532886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  341726)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OK  46868)
207R00000X Internal Medicine
(Licence: TX  W3958)
Enumeration Date2021-05-20
Last Update Date2026-04-14
Business Address
PRISCILLA IHENACHO MD
205 HOLIDAY BLVD SUITE 100
SHREVEPORT, LA 71103-4228
Phone number: 945-941-0704
Mailing Address
PRISCILLA IHENACHO MD
205 HOLIDAY BLVD SUITE 100 PMB
SHREVEPORT, LA 71103-4228
Phone number: 945-941-0704
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