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Shady Pena
NPI 1871000208 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7339 N 1st St Ste 110
Fresno, CA 93720 - Phone
- (559) 691-0358
- Clinicians at this address
- 254
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California