Individual
PENNY HARGUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
57725 29 PALMS HWY, SUITE 401, YUCCA VALLEY, CA 92284-3044
(760) 228-1929
(760) 228-9633
Mailing address
57725 29 PALMS HWY, SUITE 401, YUCCA VALLEY, CA 92284-3044
(760) 228-1929
(760) 228-9633
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
515540
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95001763
CA
Other
Enumeration date
10/21/2014
Last updated
03/31/2016
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