ERNESTO ANTONIO PENA-TEJEDA

SHREVEPORT, LA
NPI1619758620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  338914)
Enumeration Date2023-10-06
Last Update Date2023-12-22
Business Address
ERNESTO ANTONIO PENA-TEJEDA
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3858
Mailing Address
ERNESTO ANTONIO PENA-TEJEDA
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3858
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