| Doctor Name: | PENNY HARGUESS |
| NPI Number: | 1033513908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 515540 |
| Business Practice Address: | 57725 29 Palms Hwy Suite 401 Yucca Valley, CA - 922843044 |
| Business Phone Number: | 7602281929 |
| Business Fax Number: | 7602289633 |
| Mailing Address: | 57725 29 Palms Hwy, Suite 401 YUCCA VALLEY |
| State: | CA |
| Postal Code: | 922843044 |
| Phone Number: | 7602281929 |
| Fax Number: | 7602289633 |
| NPI Enumeration Date: | 10/21/2014 |
| NPI Last Update Date: | 03/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH1000X |
| License Number: | 515540 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Hospice |
| Taxonomy Definition: | |