NPI 1144094442

Latrice Penny

Practitioner Driver Woodbridge, VA

Practice location

Address: 12163 Old Salem CT, Woodbridge, VA 22192-6258
Phone: (410) 297-1821

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence P500488368942 (MD)

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Registry record

NPI: 1144094442
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2023
Record last updated: 8 Nov 2023

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.