Individual
HOLLIE PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
401 BROADWAY ST S, JORDAN, MN 55352-1701
(952) 492-5253
Mailing address
401 BROADWAY ST S, JORDAN, MN 55352-1701
(952) 492-5253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5786
MN
Other
Enumeration date
03/11/2013
Last updated
02/11/2015
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