SANDY GAIL PENNER

CRESCENT CITY, CA
NPI1700393998
Former NameSANDY GAIL MACHOLL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CA  31737)
Enumeration Date2018-01-09
Last Update Date2018-03-21
Business Address
SANDY GAIL PENNER RDH
550 E WASHINGTON BLVD
CRESCENT CITY, CA 95531-8160
Phone number: 707-465-4636
Mailing Address
SANDY GAIL PENNER RDH
670 9TH ST STE 203
ARCATA, CA 95521-6249
Phone number: