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Mrs. Penny Irene Neal, LMP
Specialist in Ilwaco, Washington
NPI 1700025137

Penny Irene Neal is a Specialist based in Nahcotta, WA. Penny Irene Neal practices in Ilwaco, WA and has the professional credentials of LMP. The NPI Number for Penny Irene Neal is 1700025137 and holds a License No. MA00018618 (Washington).

The current practice location address for Penny Irene Neal is 120 First Avenue, Ilwaco, WA and can be reached out via phone at 360-642-4080.

Location: 120 First Avenue, Ilwaco, WA, 98637-0038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700025137
Provider Name
Penny Irene Neal
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
120 First Avenue, Ilwaco, WA, 98637-0038
Phone Number
360-642-4080
Fax Number
Provider Enumeration Date
02/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0182654 01 WA WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
120 First Avenue
City
Ilwaco
State
Washington
Zip
98624
Phone Number
360-642-4080
Fax Number
person
Provider Business Mailing Address Details
Address
120 First Avenue
City
Ilwaco
State
Washington
Zip
98624
Phone Number
360-642-4080
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00018618 (Washington)
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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