Individual
MRS. CIERRA M. TYNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA.
Contact information
Practice address
1666 E. BERT KOUNS, SUITE 105, SHREVEPORT, LA 71105
(318) 212-3520
(318) 212-3525
Mailing address
PO BOX 16435, LOVES PARK, IL 61132
(815) 713-2600
(815) 654-8020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200393
LA
363AM0700X
Medical Physician Assistant
PA.200393
LA
Other
Enumeration date
10/13/2010
Last updated
03/01/2017
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