NICHOLAS PENNER

SAN DIEGO, CA
NPI1104158104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-02-02
Last Update Date2010-02-02
Business Address
-- NICHOLAS PENNER M.D.
402 DICKINSON ST SUITE 380
SAN DIEGO, CA 92103-6902
Phone number: 619-543-6529
Mailing Address
-- NICHOLAS PENNER M.D.
855 BEECH ST APT 322
SAN DIEGO, CA 92101-2885
Phone number:
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