Penny Lane
NPI #1093010084 in Littlerock, California
Provider Information
- NPI Number
- 1093010084
- Entity Type
- Organization
- Organization Name
- Penny Lane
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 21, 2011
- Last Updated
- Jan 21, 2011
Practice Location
- Address
- 37151 101ST ST E
- City
- Littlerock
- State
- California
- ZIP Code
- 93543-2032
- Phone
- (661) 944-0594
Authorized Official
- Name
- MR. ROBERTO GARCIA
- Title
- RAHABILITATION SPECIALIST
- Phone
- (661) 944-0594
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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