Individual
GABRIELA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 E MINARETS AVE, PINEDALE, CA 93650-1239
(559) 436-0482
(559) 436-4650
Mailing address
40 E MINARETS AVE, PINEDALE, CA 93650-1239
(559) 436-0482
(559) 436-4650
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN260179
CA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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