# DR. JULENE TINA PENA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649392754
- **Gender:** F
- **Credential:** O.D., F.A.A.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 12343T | CA | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | TA2029 | MD | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 07/08/2007
