Pena, Jacqueline Ruby

Pena, Jacqueline Ruby is an individual health care provider with primary practice located at 45111 Fern Ave , Lancaster CA 93534-2301. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Pena, Jacqueline Ruby can be contacted via phone (661) 949-1206.

Contact Information

Primary practice address
45111 Fern Ave Lancaster CA 93534-2301
Phone: (661) 949-1206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 12965 California

Profile Details

NPI number 1508521485
LBN Legal business name Pena, Jacqueline Ruby
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2021
Last updated Jan 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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