Individual
MRS. BETHANY LYN PENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 WOODY DR, WEST MONROE, NY 13167-4184
(315) 744-3779
Mailing address
40 WOODY DR, WEST MONROE, NY 13167-4184
(315) 744-3779
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
03/01/2017
Last updated
07/21/2022
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