WILLIAM D PENNER

LAS CRUCES, NM
NPI1366714917
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  2505)
Enumeration Date2012-01-29
Last Update Date2012-01-29
Business Address
-- WILLIAM D PENNER COTA/L
3734 PIEDRAS NEGRAS DR
LAS CRUCES, NM 88012-7671
Phone number: 575-642-0920
Mailing Address
-- WILLIAM D PENNER COTA/L
3734 PIEDRAS NEGRAS DR
LAS CRUCES, NM 88012-7671
Phone number: 575-642-0920
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