Julene Tina Pena O.D., F.A.A.O.

NPI 1649392754 - Optometrist - 152WL0500X

NPI Details
NPI 1649392754
Gender Female
Enumeration Date 04/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6200 BALTIMORE AVENE
SUITE 100
RIVERDALE MD, 20737, US
Phone (240) 737-5160
Fax
Business Location
1126 11TH ST NW APT 201
WASHINGTON DC, 20001-4317, US
Phone (240) 737-5160
Fax
Toxanomy
Taxonomy Code 152WL0500X
License State California
License Number 12343T
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According to our database, Dr. Julene Tina Pena O.D., F.A.A.O. NPI is 1649392754, taxonomy code is 152WL0500X and license number is 12343T, license state is located at California. Julene Tina Pena O.D., F.A.A.O. physically located at 6200 Baltimore Avene, Riverdale MD, 20737. NPI Number Julene Tina Pena O.D., F.A.A.O. has the Individual type.

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1649392754 NPI number is provided on an as is basis without warranty of any kind. 1649392754 is maintained by the National Plan & Provider Enumeration System. The contents of Julene Tina Pena O.D., F.A.A.O. are for informational purposes only.