Individual
KRISTEN PENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.D.
Contact information
Practice address
10 HALLETTS PT APT 1240, ASTORIA, NY 11102-4691
(443) 722-7690
Mailing address
10 HALLETTS PT APT 1240, ASTORIA, NY 11102-4691
(443) 722-7690
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
15126
NY
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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