Penny Goumenidis, PA-C
NPI #1063115137 in Modesto, California
Provider Information
- NPI Number
- 1063115137
- Entity Type
- Individual
- Name
- Penny Goumenidis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 27, 2023
- Last Updated
- May 16, 2023
Practice Location
- Address
- 1441 FLORIDA AVE
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4404
- Phone
- (209) 578-1211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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