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1073329769
ISAC PENA
OAKLAND, CA
NPI
1073329769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2024-12-06
Last Update Date
2024-12-13
Business Address
ISAC PENA
2828 FORD ST
OAKLAND, CA 94601-2114
Phone number: 510-268-3770
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Mailing Address
ISAC PENA
2828 FORD ST
OAKLAND, CA 94601-2114
Phone number:
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