Individual
DEBORAH B PENROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
725 MAIN STREET, HALF MOON BAY, CA 94019
(650) 726-1200
(650) 726-1235
Mailing address
725 MAIN ST, HALF MOON BAY, CA 94019
(650) 726-1200
(650) 726-1235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4678
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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