Individual
DAVIDA AVILA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1904 PINE ST STE 3A, ABILENE, TX 79601-2450
(210) 617-5100
Mailing address
1904 PINE ST STE 3A, ABILENE, TX 79601-2450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07402
TX
Other
Enumeration date
04/23/2012
Last updated
10/26/2021
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