KEITH SOBREPENA

VALENCIA, CA
NPI1417687096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95021299)
Enumeration Date2022-06-15
Last Update Date2022-09-30
Business Address
KEITH SOBREPENA
25000 AVENUE STANFORD STE 167
VALENCIA, CA 91355-4596
Phone number: 818-488-4840
Mailing Address
KEITH SOBREPENA
10848 BALBOA BLVD
GRANADA HILLS, CA 91344-5003
Phone number: 818-488-4840
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