Individual
YOLANDA PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9213 BRAVE CT, JONESBORO, GA 30236-5110
(404) 375-6575
(770) 629-4883
Mailing address
9213 BRAVE CT, JONESBORO, GA 30236-5110
(404) 375-6575
(770) 629-4883
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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