Individual
JULIE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15270 W CROCUS DR, SURPRISE, AZ 85379-7036
(323) 335-4530
Mailing address
15270 W CROCUS DR, SURPRISE, AZ 85379-7036
(323) 335-4530
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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