Individual
ADRIANA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 E.CENTER STREET STE.3, MANTECA, CA 95336
(209) 239-1249
Mailing address
129 E CENTER ST STE 3, MANTECA, CA 95336-4648
(209) 239-1249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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