Jesus M Pena

NPI #1679921001 in Peabody, Massachusetts

Provider Information

NPI Number: 1679921001
Entity Type: Individual
Name: Jesus M Pena
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 26, 2016
Last Updated: May 26, 2016

Practice Location

Address: 10 CENTENNIAL DR
City: Peabody
State: Massachusetts
ZIP Code: 01960-7938
Phone: (978) 535-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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