Individual
MARK ROBERT PENARANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
190 CAMPUS BLVD STE 300, WINCHESTER, VA 22601-2872
(540) 667-1244
Mailing address
190 CAMPUS BLVD STE 300, WINCHESTER, VA 22601-2872
(540) 667-1244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
03/10/2021
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