Individual
JENNIFER PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
735 US HIGHWAY 24, LEADVILLE, CO 80461-3978
(719) 486-0500
(719) 486-3966
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4934
(505) 841-1234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2019-0014
NM
Other
Enumeration date
07/23/2016
Last updated
07/24/2024
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