JODY LYNN PENNYCOOK

SANTA ROSA, CA
NPI1255696910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA22225)
Enumeration Date2012-07-09
Last Update Date2012-07-09
Business Address
Miss JODY LYNN PENNYCOOK PA
4740 HOEN AVE
SANTA ROSA, CA 95405-7824
Phone number: 707-542-2783
Mailing Address
Miss JODY LYNN PENNYCOOK PA
4740 HOEN AVE
SANTA ROSA, CA 95405-7824
Phone number: 707-542-2783
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