PENNY LANE MAKABENTA

FULLERTON, CA
NPI1245439157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA18214)
Enumeration Date2007-07-12
Last Update Date2007-07-12
Business Address
-- PENNY LANE MAKABENTA PA
2720 N HARBOR BLVD SUITE 130
FULLERTON, CA 92835-2609
Phone number: 714-449-6230
Mailing Address
-- PENNY LANE MAKABENTA PA
DEPT LA21190
PASADENA, CA 91185-1190
Phone number: 714-449-4800
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