SHANNA KIDD

ODESSA, TX
NPI1851616916
Former NameSHANNA JO WHEATLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA06691)
Enumeration Date2010-04-01
Last Update Date2010-11-12
Business Address
-- SHANNA KIDD PA-C
701 W 5TH ST
ODESSA, TX 79763-4206
Phone number: 432-335-1500
Mailing Address
-- SHANNA KIDD PA-C
701 W 5TH ST SUITE 1C34
ODESSA, TX 79763-4206
Phone number: 432-335-5126
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