Individual
ABI GONZALEZ PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8881 S SANDIA HILLS DR APT 2169, SANDY, UT 84094-1893
(801) 556-1258
Mailing address
8881 S SANDIA HILLS DR APT 2169, SANDY, UT 84094-1893
(801) 556-1258
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/09/2019
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