Jentry Danielle Riddle, PA

NPI #1003849837 in Killeen, Texas

Provider Information

NPI Number
1003849837
Entity Type
Individual
Name
Jentry Danielle Riddle, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jul 7, 2006
Last Updated
Jun 15, 2009

Practice Location

Address
4204 EAST STAN SCHLEUTER LOOP
State
Texas
ZIP Code
76542-8352
Phone
(254) 690-2800

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical

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