Individual
MS. AWILDA MARRERO LABONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13 W KENT ST STE 103, CHATTANOOGA, TN 37405-9913
(423) 648-2273
(423) 206-4625
Mailing address
13 W KENT ST STE 103, CHATTANOOGA, TN 37405-9913
(423) 648-2273
(423) 206-4625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
03307
TN
363AM0700X
Medical Physician Assistant
Primary
03307
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363AMO700X
TAXONOMY
IL
Enumeration date
03/22/2006
Last updated
03/07/2023
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