PENINA R FORTA

ROYAL OAK, MI
NPI1932986668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011914)
Enumeration Date2023-09-14
Last Update Date2023-09-14
Business Address
PENINA R FORTA PA-C
31157 WOODWARD AVE
ROYAL OAK, MI 48073-0996
Phone number: 248-336-0123
Mailing Address
PENINA R FORTA PA-C
14520 SHERWOOD ST
OAK PARK, MI 48237-1386
Phone number: 248-219-7268
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