Louise L Tichenor, PA

NPI #1053480244 in Malone, New York

Provider Information

NPI Number: 1053480244
Entity Type: Individual
Name: Louise L Tichenor, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 336 ELM ST
City: Malone
State: New York
ZIP Code: 12953-1514
Phone: (518) 483-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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