TINA FAITH GENTRY

SHREVEPORT, LA
NPI1730118365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  A10432)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: LA  PAA10432)
Enumeration Date2006-07-03
Last Update Date2008-04-14
Business Address
-- TINA FAITH GENTRY PA
7925 YOUREE DR SUITE 280B
SHREVEPORT, LA 71105-5538
Phone number: 318-212-3636
Mailing Address
-- TINA FAITH GENTRY PA
7925 YOUREE DR SUITE 280B
SHREVEPORT, LA 71105-5538
Phone number:
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