Individual
PATRICIA PICHILINGUE RETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
326359
LA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
326359
LA
Other
Enumeration date
09/07/2014
Last updated
12/20/2023
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