Individual
JEANETTE CATHERINE PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105-5134
(318) 212-3610
(318) 212-3709
Mailing address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105-5134
(182) 123-6103
(318) 212-3709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/03/2021
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