PENNY DAUGHERTY

PUEBLO, CO
NPI1265818348
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  DH000903235)
Enumeration Date2015-07-30
Last Update Date2015-07-30
Business Address
-- PENNY DAUGHERTY
2030 LAKE AVE
PUEBLO, CO 81004-3536
Phone number: 719-564-4823
Mailing Address
-- PENNY DAUGHERTY
2030 LAKE AVE
PUEBLO, CO 81004-3536
Phone number: