Individual
DAWN DEE PENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
742 STUART LN, CINCINNATI, OH 45245-2418
(513) 767-6993
Mailing address
304 S 4TH ST, WILLIAMSBURG, OH 45176-1206
(513) 767-6993
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
111020-MEDS
OH
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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