Individual
PATRICIA PENNYMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36500 MARQUETTE ST APT 909, WESTLAND, MI 48185-3248
(313) 570-9532
Mailing address
332 BROOKFIELD DR, WESTLAND, MI 48185-3831
(313) 570-9532
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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