Individual
MR. RONALD PENN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4751 HARVEST PARK DR., MEMPHIS, TN 38125
(323) 558-2902
Mailing address
4751 HARVEST PARK DR, MEMPHIS, TN 38125-4776
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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