Individual
ADRIANA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 4TH ST, ORLAND, CA 95963-1312
(971) 205-0286
Mailing address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2775
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01133439
CA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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