Individual
JAMES PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
19845 N COSTA DEL SOL, MARICOPA, AZ 85138-5431
(520) 568-5174
(520) 568-5176
Mailing address
38165 W SANTA BARBARA AVE, MARICOPA, AZ 85138-5301
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
270488
AZ
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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