Individual
MRS. CHRISTINE E PENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15 WEST AVE, HOLLEY, NY 14470-1115
(585) 638-5970
Mailing address
15 WEST AVE, HOLLEY, NY 14470-1115
(585) 638-5970
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292575-1
NY
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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