CODY ALAN PENSKE

HOLLAND, OH
NPI1992086912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  138468)
Enumeration Date2011-09-03
Last Update Date2011-09-03
Business Address
Mr. CODY ALAN PENSKE LPN
729 HAREFOOTE ST
HOLLAND, OH 43528-8566
Phone number: 419-410-5320
Mailing Address
Mr. CODY ALAN PENSKE LPN
729 HAREFOOTE ST
HOLLAND, OH 43528-8566
Phone number: 419-410-5320