NPI 1063743508

Jera L Pennington, LAC

Practitioner Acupuncturist Gilbert, AZ

Practice location

Address: 1451 E Williams Field Rd, Gilbert, AZ 85295-1692
Phone: (480) 390-0162
Mailing address: 3425 E Joseph Way, Gilbert, AZ 85295-7677

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 0537 (AZ)

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Registry record

NPI: 1063743508
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2010
Record last updated: 22 Jan 2010

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.