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Individual

MS. RASHAWN LYNETT PENNYMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
24455 LAKE SHORE BLVD APT 101, EUCLID, OH 44123-1237
(216) 370-1374
Mailing address
PO BOX 17134, EUCLID, OH 44117-0134
(216) 370-1374

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0069975
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0069975
OH
Enumeration date
02/27/2013
Last updated
02/27/2013
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