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Elizabeth Pennebaker

NPI 1316261704 · on the registry since 2010

Practice

Address
17865 South Vail Rd
Picacho, AZ 85141
Phone
(520) 466-7942
Organisation at this address
Picacho Elementary School District #33
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-03-17

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 Arizona