Individual
MARIA VICTORIA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3849 E FOOTHILL BLVD, PASADENA, CA 91107-2204
(626) 469-5437
Mailing address
14142 TIARA ST APT 1, VAN NUYS, CA 91401-3647
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95033651
CA
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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