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Individual
SHAWNA NIKIA JEIDER
Active
Individual
SHAWNA NIKIA JEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.200050
LA
363AM0700X
Medical Physician Assistant
200050
LA
363AS0400X
Surgical Physician Assistant
Primary
146
LA
Other
Enumeration date
10/20/2005
Last updated
06/22/2022
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