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1093341919
JENNIFER MARIE PENA
TACOMA, WA
NPI
1093341919
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Former Name
JENNIFER MARIE CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-03-23
Last Update Date
2022-11-03
Business Address
JENNIFER MARIE PENA PA
9040 JACKSON AVE
TACOMA, WA 98431-5102
Phone number: 253-968-2252
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Mailing Address
JENNIFER MARIE PENA PA
9040 JACKSON ACE
TACOMA, WA 98431-0001
Phone number: 253-968-2252
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