Individual
PENNY JEAN HERROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
(417) 257-9152
Mailing address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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