Individual
HUNTER M PENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3410 S CORDOBA AVE, SPRING VALLEY, CA 91977-3024
(530) 440-5711
Mailing address
3410 S CORDOBA AVE, SPRING VALLEY, CA 91977-3024
(530) 440-5711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6452
CA
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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