Individual
MRS. PATRICIA LIDA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1032 EMERALD RD, GREENWOOD, SC 29646-8833
(864) 941-5540
(864) 388-7887
Mailing address
356 HANOVER RD, ABBEVILLE, SC 29620-5262
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
61037
SC
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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