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Jody Pennycook, PA
NPI 1255696910 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4740 Hoen Ave
Santa Rosa, CA 95405 - Phone
- (707) 542-2783
- Fax
- (707) 542-7976
- Organisation at this address
- North Bay Cardiology Inc.
North Bay Cardiac Imaging IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California