Individual
ALEXANDRA DE LA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GROVE AVE APT B, RICHMOND, VA 23220-4567
(919) 606-0036
Mailing address
2401 GROVE AVE APT B, RICHMOND, VA 23220-4567
(919) 606-0036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0110-008529
VA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
06/22/2022
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