Individual
MRS. JENNIFER A PERFETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9809 HEARTHSIDE CIR, SHREVEPORT, LA 71118-4830
(318) 773-5300
Mailing address
9809 HEARTHSIDE CIR, SHREVEPORT, LA 71118-4830
(318) 773-5300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 03771F
LA
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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