Individual
ASHLEE LORRAINE PENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E 15TH ST, MERCED, CA 95341-6217
(209) 381-6819
Mailing address
4655 BECKMAN WAY, MERCED, CA 95348-8538
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
684867
CA
Other
Enumeration date
02/02/2021
Last updated
07/03/2021
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