NPI 1003843616

Vance V Penn, MEDATCCSCS

Practitioner Athletic Trainer Apo, AE

Practice location

Address: Cmr 431 Box 2152, Apo, AE 09175
Phone: 4916093968204

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1003843616
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2006
Record last updated: 20 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.