Individual
BEATRIZ PENILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 SAN FELIPE RD, HOLLISTER, CA 95023-2800
(831) 636-4020
Mailing address
1131 SAN FELIPE RD, HOLLISTER, CA 95023-2800
(831) 636-4020
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
08/13/2025
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