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Individual

ANITA PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
604 OLIVEWOOD TER, SAN DIEGO, CA 92113
(619) 608-4723
Mailing address
604 OLIVEWOOD TER, SAN DIEGO, CA 92113-2738
(619) 608-4723

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 265426
CA

Other

Enumeration date
08/09/2013
Last updated
08/09/2013
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