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1023777166
ALEXIS S PENA
SAN FRANCISCO, CA
NPI
1023777166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2021-12-16
Last Update Date
2021-12-20
Business Address
ALEXIS S PENA
982 MISSION ST
SAN FRANCISCO, CA 94103-2911
Phone number: 415-597-8062
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Mailing Address
ALEXIS S PENA
982 MISSION ST
SAN FRANCISCO, CA 94103-2911
Phone number:
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