Individual
DEBRA L PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86403-5616
(928) 486-8620
Mailing address
PO BOX 966, LAKE HAVASU CITY, AZ 86405-0966
(928) 855-6333
(928) 855-5275
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AZ
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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