Individual
ABRAHAM E PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4441 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 704-1485
Mailing address
4441 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 704-1485
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
11/22/2024
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