Individual
MISS SHAUNA LYNN PENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2363 S KENNEDY LN BLDG 3, YUMA, AZ 85365-2416
(928) 390-0613
Mailing address
4407 S AGAVE AVE, YUMA, AZ 85365-6395
(928) 390-0613
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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