Individual
DANIELLE PENNYWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 KNIGHT ST STE 105, SHREVEPORT, LA 71105-2538
(318) 542-7728
Mailing address
3007 KNIGHT ST STE 105, SHREVEPORT, LA 71105-2538
(318) 542-7728
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
NA
LA
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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