Nicole Pennock, IDMT
NPI #1508000225 in Mcguire Afb, New Jersey
Provider Information
- NPI Number
- 1508000225
- Entity Type
- Individual
- Name
- Nicole Pennock, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Apr 24, 2009
- Last Updated
- Apr 24, 2009
Practice Location
- Address
- 3458 NEELY RD
- City
- Mcguire Afb
- State
- New Jersey
- ZIP Code
- 08641
- Phone
- (609) 754-9080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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