Individual
PENELOPE ANN FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 HUNTERS GLEN DR, MESQUITE, TX 75150-6018
(972) 279-2298
Mailing address
1005 HUNTERS GLEN DR, MESQUITE, TX 75150-6018
(972) 279-2298
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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