Organization
PENNYMARIE ENTERPRISES, LLC
Active
Other names
The Lice Place
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY WARNER R.N. (PRESIDENT/CEO)
(281) 723-3924
Entity
Organization
Contact information
Practice address
4007 BELLAIRE BLVD, SUITE GG, HOUSTON, TX 77025-1166
(281) 362-5237
Mailing address
3803 S CAULDER WAY, MISSOURI CITY, TX 77459-6239
(281) 723-3924
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
613434
TX
374700000X
Technician
613434
TX
Other
Enumeration date
11/26/2012
Last updated
01/13/2014
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