Ellaina Pena

NPI #1477136331 in Greensboro, North Carolina

Provider Information

NPI Number: 1477136331
Entity Type: Individual
Name: Ellaina Pena
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Apr 29, 2021
Last Updated: May 24, 2021

Practice Location

Address: 5515 W MARKET ST APT 906
City: Greensboro
State: North Carolina
ZIP Code: 27409-2550
Phone: (336) 604-3283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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