Individual
MARCOS JOSUE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2940 W MOVI TRL, CHINO VALLEY, AZ 86323-5083
(805) 793-9548
Mailing address
1075 E BETTERAVIA RD, SANTA MARIA, CA 93454-7023
(805) 621-7651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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