Individual
JESSICA PENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 STOCK OPTION ST UNIT 3, HENDERSON, NV 89074-8884
(702) 475-1032
Mailing address
92 STOCK OPTION ST UNIT 3, HENDERSON, NV 89074-8884
(702) 475-1032
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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