Individual
JOYCELYN N PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 GREGORY ST APT 12, WINSTON SALEM, NC 27101-4953
(743) 444-9623
Mailing address
1821 N CLEVELAND AVE APT C, WINSTON SALEM, NC 27105-6253
(678) 937-3181
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
000029051426
NC
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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