Individual
MS. STEPHANIE C PENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MIDWIFE
Contact information
Practice address
5824 E 10TH AVE, APACHE JUNCTION, AZ 85219-9318
(480) 982-0718
(480) 982-0718
Mailing address
5824 E 10TH AVE, APACHE JUNCTION, AZ 85219
(480) 982-0718
(480) 982-0718
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
60
AZ
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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