Individual
NOELIA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5332 E BASELINE RD APT 1097, MESA, AZ 85206-4725
(646) 545-1179
Mailing address
5332 E BASELINE RD APT 1097, MESA, AZ 85206-4725
(646) 545-1179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10469
AZ
363A00000X
Physician Assistant
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—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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