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Jesus M Pena
Student in an Organized Health Care Education/Training Program in Peabody, Massachusetts
NPI 1679921001

Jesus M Pena is a Student in an Organized Health Care Education/Training Program based in Peabody, MA. Jesus M Pena practices in Peabody, MA. The NPI Number for Jesus M Pena is 1679921001 and holds a License No. (Massachusetts).

The current practice location address for Jesus M Pena is 10 Centennial Dr, Peabody, MA and can be reached out via phone at 978-535-1110 and via fax at 978-535-2907.

Location: 10 Centennial Dr, Peabody, MA, 01960-7938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679921001
Provider Name
Jesus M Pena
Credential
Provider Entity Type
Individual
Gender
Male
Address
10 Centennial Dr, Peabody, MA, 01960-7938
Phone Number
978-535-1110
Fax Number
978-535-2907
Provider Enumeration Date
05/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Centennial Dr
City
Peabody
State
Massachusetts
Zip
01960-7938
Phone Number
978-535-1110
Fax Number
978-535-2907
person
Provider Business Mailing Address Details
Address
10 Centennial Dr
City
Peabody
State
Massachusetts
Zip
01960-7938
Phone Number
978-535-1110
Fax Number
978-535-2907
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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