Individual
MRS. ANDREA CAROL PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T. (R)
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3380
(928) 669-3377
Mailing address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3380
(928) 669-3377
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
13424
AZ
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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