Individual
MR. RUBEN R PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10652 S EASTERN AVE, SUITE A, HENDERSON, NV 89052-4952
(702) 476-2800
(702) 476-2040
Mailing address
PO BOX 743752, ATLANTA, GA 30374-3752
(702) 476-2800
(702) 476-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002738
MI
Other
Enumeration date
03/07/2007
Last updated
10/04/2016
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