Individual
MS. PENNY NUNEZ MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6550 S PECOS RD STE B-115, LAS VEGAS, NV 89120-2828
(415) 690-6635
Mailing address
6550 S PECOS RD STE B-115, LAS VEGAS, NV 89120-2828
(415) 690-6635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
CA
251B00000X
Case Management Agency
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003305483
—
CA
Enumeration date
02/08/2014
Last updated
11/27/2023
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