Pennie Wilde

NPI #1053182105 in Winnemucca, Nevada

Provider Information

NPI Number
1053182105
Entity Type
Individual
Name
Pennie Wilde
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health Aide
Enumeration Date
Jan 9, 2024
Last Updated
Jan 9, 2024

Practice Location

Address
3130 SUMMERWIND CIR
State
Nevada
ZIP Code
89445-7604
Phone
(904) 504-0312

Specialties & Taxonomy Codes

Specialty
Home Health Aide

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