Individual
IVANNA PENUNURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
723 SW 10TH ST, RENTON, WA 98057-5223
(206) 461-4889
Mailing address
23615 108TH PL SE APT 1L305, KENT, WA 98031-5472
(253) 348-4184
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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