Individual
LUCIA PENATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11233 S BUDLONG AVE, LOS ANGELES, CA 90044-1309
(310) 480-0622
Mailing address
11233 S BUDLONG AVE, LOS ANGELES, CA 90044-1309
(310) 480-0622
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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