Pena, Jennifer

Pena, Jennifer is an individual health care provider with primary practice located at 17057 Foothill Blvd Bldg B , Fontana CA 92335-3521. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Pena, Jennifer can be contacted via phone (909) 347-1300.

Contact Information

Primary practice address
17057 Foothill Blvd Bldg B Fontana CA 92335-3521
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1023708179
LBN Legal business name Pena, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2023
Last updated May 11th, 2023 - about 2 years ago

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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