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Mrs. Bethany Lyn Penrod
Specialist in West Monroe, New York
NPI 1063952612

Bethany Lyn Penrod is a Specialist based in West Monroe, NY. Bethany Lyn Penrod practices in West Monroe, NY. The NPI Number for Bethany Lyn Penrod is 1063952612 and holds a License No. (New York).

The current practice location address for Bethany Lyn Penrod is 40 Woody Dr, West Monroe, NY and can be reached out via phone at 315-744-3779.

Location: 40 Woody Dr, West Monroe, NY, 13167-4184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063952612
Provider Name
Bethany Lyn Penrod
Credential
Provider Entity Type
Individual
Gender
Female
Address
40 Woody Dr, West Monroe, NY, 13167-4184
Phone Number
315-744-3779
Fax Number
Provider Enumeration Date
03/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 Woody Dr
City
West Monroe
State
New York
Zip
13167-4184
Phone Number
315-744-3779
Fax Number
person
Provider Business Mailing Address Details
Address
40 Woody Dr
City
West Monroe
State
New York
Zip
13167-4184
Phone Number
315-744-3779
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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