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Individual

ELIZABETH PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1310 CLUB DR, VALLEJO, CA 94592-1187
(707) 638-5809
Mailing address
2201 COURAGE DR, FAIRFIELD, CA 94533-6733
(707) 784-2010

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
03/09/2022
Last updated
02/12/2025
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