Individual
JERA L PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1451 E WILLIAMS FIELD RD, GILBERT, AZ 85295-1692
(480) 390-0162
Mailing address
3425 E JOSEPH WAY, GILBERT, AZ 85295-7677
(480) 390-0162
(480) 656-1394
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0537
AZ
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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