David Austin Penglase, BACHELORS

NPI #1770845158 in Kent, Ohio

Provider Information

NPI Number
1770845158
Entity Type
Individual
Name
David Austin Penglase, BACHELORS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Adult Companion
Credential
BACHELORS
Enumeration Date
Jun 12, 2012
Last Updated
Jun 12, 2012

Practice Location

Address
690 MORRIS ROAD APARTMENT 1
City
Kent
State
Ohio
ZIP Code
44240
Phone
(978) 317-2851

Specialties & Taxonomy Codes

Specialty
Adult Companion

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