Individual
DIANA R PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
20132 LANARK ST, WINNETKA, CA 91306-1836
(386) 216-6302
Mailing address
20132 LANARK ST, WINNETKA, CA 91306-1836
(386) 216-6302
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022827
CA
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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