Individual
LESLIE ANNIS PENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4480
(850) 914-6281
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4480
(850) 914-6281
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN 9270270
FL
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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