Individual
KIRA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 S CHESTNUT AVE, FRESNO, CA 93702-4798
(281) 352-8281
Mailing address
361 W SANTA ANA AVE APT 109, CLOVIS, CA 93612-4344
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
10/24/2019
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