Individual
MRS. PENNY JELAN DRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14643 NE 166TH ST, WOODINVILLE, WA 98072-9013
(425) 806-9453
Mailing address
6309 88TH ST NE, MARYSVILLE, WA 98270-2858
(360) 653-3474
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN00164631
WA
Other
Enumeration date
01/06/2011
Last updated
07/09/2014
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