Individual
CHRISTY LEANNE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 466-2303
Mailing address
PO BOX 69004, ALEXANDRIA, LA 71306-9004
(318) 466-2303
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.A10547.RX
LA
Other
Enumeration date
09/28/2006
Last updated
03/02/2012
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