Individual
PEDRO GARCIA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8118 156TH STREET CT E, PUYALLUP, WA 98375-6816
(253) 240-9042
Mailing address
8118 156TH STREET CT E, PUYALLUP, WA 98375-6816
(253) 240-9042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61185267
WA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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