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Individual

MR. ALEXIS S PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA, MA, CHW

Contact information

Practice address
1360 MISSION ST, SAN FRANCISCO, CA 94103-2626
(415) 412-6809
Mailing address
1360 MISSION ST, SAN FRANCISCO, CA 94103-2626
(415) 412-6809

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
12/16/2021
Last updated
05/14/2025
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