Individual
GENEVA LEIGH PENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
39639 TOWNSEND RD, DADE CITY, FL 33525-1582
(352) 410-0754
Mailing address
39639 TOWNSEND RD, DADE CITY, FL 33525-1582
(352) 410-0754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9193254
FL
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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