Individual
JACQUELINE LAKALE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 S LOOP W STE 204, HOUSTON, TX 77054-2812
(314) 761-3838
(314) 868-8802
Mailing address
1641 EMERALD CREEK DR, FLORISSANT, MO 63031-2045
(314) 761-3838
(314) 868-8802
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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