ISSAC PENA-RENTERIA

SALT LAKE CITY, UT
NPI1356852719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  6864813-1206)
Enumeration Date2017-10-12
Last Update Date2021-12-01
Business Address
ISSAC PENA-RENTERIA PA-C
2295 S FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number: 801-486-3021
Mailing Address
ISSAC PENA-RENTERIA PA-C
2295 S FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number:
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