Individual
ESTHER A. PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3536 MENDOCINO AVE, STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6482
(707) 573-6918
Mailing address
1017 2ND ST, SANTA ROSA, CA 95404-6608
(707) 546-9800
(707) 546-4112
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A82492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A824920
—
CA
Enumeration date
11/15/2006
Last updated
04/24/2014
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