Lupita Pena QMHA

NPI 1104050947 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1104050947
Gender Female
Enumeration Date 05/07/2009
Last Updated 05/07/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2421 LANCASTER DR NE
SALEM OR, 97305-1220, US
Phone (503) 361-2720
Fax
Business Location
2299 F ST
HUBBARD OR, 97032-9678, US
Phone (503) 361-2720
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Miss Lupita Pena QMHA NPI is 1104050947, taxonomy code is 171M00000X Lupita Pena QMHA physically located at 2421 Lancaster Dr Ne, Salem OR, 97305-1220. NPI Number Lupita Pena QMHA has the Individual type.

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1104050947 NPI number is provided on an as is basis without warranty of any kind. 1104050947 is maintained by the National Plan & Provider Enumeration System. The contents of Lupita Pena QMHA are for informational purposes only.