Suzie Pennington
Technician, Personal Care Attendant in Jacksonville, FL. Individual provider (NPI-1).
NPI number1669945606
StatusActive
Last updated in NPPESJan 2, 2019
Details
- NPI
- 1669945606
- Entity type
- Individual (NPI-1)
- Name
- Suzie Pennington
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2019
- Last updated
- Jan 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
7541 Fawn Lake Dr NJacksonville, FL 32256-3665
Phone 904-790-0026
Mailing address
7541 Fawn Lake Dr NJacksonville, FL 32256-3665
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