Individual
PENNY BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12781 ST RT 774, BETHEL, OH 45106
(513) 532-7355
Mailing address
12781 ST RT 774, BETHEL, OH 45106
(513) 532-7355
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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