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1104133958
MICHELE PENA
LOS ANGELES, CA
NPI
1104133958
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Other Name
MICHELLE PENA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 20070)
Enumeration Date
2010-08-31
Last Update Date
2024-08-07
Business Address
Miss MICHELE PENA N.P.
200 UCLA MEDICAL PLZ STE 565
LOS ANGELES, CA 90095-8344
Phone number: 310-267-2555
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Mailing Address
Miss MICHELE PENA N.P.
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707
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