CARLOS J PENA

WOODLAND, CA
NPI1245687052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA53458)
Enumeration Date2016-05-21
Last Update Date2016-08-18
Business Address
-- CARLOS J PENA PA-C
1325 COTTONWOOD ST
WOODLAND, CA 95695-5131
Phone number: 530-662-3961
Mailing Address
-- CARLOS J PENA PA-C
134 ELM ST
WOODLAND, CA 95695-3230
Phone number: