SearchLouisiana222Q00000X

Tracie Pendarvis

NPI 1215200191 · on the registry since 2012 · sole proprietor

Practice

Address
5604 Pampus Ln
Bossier City, LA 71112
Phone
(318) 458-1834

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Sex
Female
Record last updated
2012-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana