Jennifer Penate
Technician, Attendant Care Provider in Hawthorne, CA. Individual provider (NPI-1).
NPI number1962033175
StatusActive
Last updated in NPPESJan 28, 2020
Details
- NPI
- 1962033175
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Penate
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2020
- Certification date
- Jan 28, 2020
- Last updated
- Jan 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
14829 Cranbrook AveHawthorne, CA 90250-8415
Phone 323-910-8232
Mailing address
442 W 91st StLos Angeles, CA 90003-3224
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