Individual
MS. DOLOR MIA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7601 STONERIDGE DR, PLEASANTON, CA 94588-4501
(925) 847-5287
Mailing address
7601 STONERIDGE DR, PLEASANTON, CA 94588-4501
(925) 847-5287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
583300
CA
363LF0000X
Family Nurse Practitioner
Primary
23771
CA
Other
Enumeration date
11/15/2012
Last updated
01/14/2022
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