Individual
ERICKA MELISSA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
626 S EASTMAN AVE, LOS ANGELES, CA 90023-1909
(323) 229-3137
Mailing address
626 S EASTMAN AVE, LOS ANGELES, CA 90023-1909
(323) 229-3137
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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