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1841079001
IAISHA PENN
MARTINSVILLE, VA
NPI
1841079001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024189126)
Enumeration Date
2023-09-27
Last Update Date
2024-01-04
Business Address
IAISHA PENN
110 COMMONWEALTH BLVD W
MARTINSVILLE, VA 24112-1832
Phone number: 276-666-7328
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Mailing Address
IAISHA PENN
110 COMMONWEALTH BLVD W
MARTINSVILLE, VA 24112-1832
Phone number: 276-634-4914
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