Individual
REBA F PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.N., Q.P.
Contact information
Practice address
3050 11TH AVENUE DR SE, HICKORY, NC 28602-8336
(828) 695-5900
(828) 695-4256
Mailing address
3050 11TH AVENUE DR SE, HICKORY, NC 28602-8336
(828) 695-5900
(828) 695-4256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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