SearchNevada171M00000X

Jesse Pennepacker

NPI 1992265698 · on the registry since 2019

Practice

Address
9390 W La Madre Way
Las Vegas, NV 89149
Phone
(760) 978-7239

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2019-03-20

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 Nevada