Individual
GREGORY PENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 O ST, BAKERSFIELD, CA 93304-1526
(661) 800-3411
Mailing address
1113 O ST, BAKERSFIELD, CA 93304-1526
(661) 800-3411
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A5926211
CA
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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