Individual
ELVIA LUCEMA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
38350 40TH ST E, PALMDALE, CA 93552-3075
(661) 225-3050
Mailing address
10528 E AVENUE S, LITTLEROCK, CA 93543-2031
(323) 317-3258
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
762044
CA
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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