Individual
PENNY ANN CASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6520 N 7TH ST STE 100, PHOENIX, AZ 85014-1213
(480) 681-0454
(480) 681-0454
Mailing address
6520 N 7TH ST STE 100, PHOENIX, AZ 85014-1213
(480) 681-0454
(480) 681-0454
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP051258
AZ
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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