Individual
NINA ROSE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6255 W ARBY AVE UNIT 334, LAS VEGAS, NV 89118-4659
(650) 255-6384
Mailing address
6255 W ARBY AVE UNIT 334, LAS VEGAS, NV 89118-4659
(650) 255-6384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13-0390
NV
Other
Enumeration date
02/10/2009
Last updated
03/19/2014
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