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1306593298
ELIZABETH PENA
VALLEJO, CA
NPI
1306593298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-03-09
Last Update Date
2022-03-09
Business Address
ELIZABETH PENA
1310 CLUB DR
VALLEJO, CA 94592-1187
Phone number: 707-638-5809
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Mailing Address
ELIZABETH PENA
1310 CLUB DR
VALLEJO, CA 94592-1187
Phone number: 707-638-5809
Copy
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