JESSE D PENNEPACKER

LAS VEGAS, NV
NPI1992265698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-03-20
Last Update Date2019-03-20
Business Address
JESSE D PENNEPACKER
9390 W LA MADRE WAY
LAS VEGAS, NV 89149-2529
Phone number: 760-978-7239
Mailing Address
JESSE D PENNEPACKER
9390 W LA MADRE WAY
LAS VEGAS, NV 89149-2529
Phone number: 760-978-7239