Individual
PENNY DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 H STREET, POPLAR, MT 59255
(509) 993-5142
Mailing address
PO BOX 444, MEDICAL LAKE, WA 99022-0444
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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