Individual
JAY VINCENT PENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
220 PLYMOUTH ST SW, LE MARS, IA 51031-3441
(712) 546-4004
(712) 546-4007
Mailing address
220 PLYMOUTH ST SW, LE MARS, IA 51031-3441
(712) 540-8457
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
086114
IA
Other
Enumeration date
03/08/2017
Last updated
04/03/2023
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