Individual
JENNIFER MARIE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5102
(253) 968-2252
Mailing address
9040 JACKSON ACE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
11/03/2022
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