Penny Lane | |
37151 101st St E Littlerock CA 93543-2032 | |
(661) 944-0594 | |
Not Available |
Full Name | Penny Lane |
---|---|
Speciality | Community/behavioral Health |
Location | 37151 101st St E, Littlerock, California |
Authorized Official Name and Position | Roberto Garcia (RAHABILITATION SPECIALIST) |
Authorized Official Contact | 6619440594 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Penny Lane 37151 101st St E Littlerock CA 93543-2032 Ph: (661) 944-0594 | Penny Lane 37151 101st St E Littlerock CA 93543-2032 Ph: (661) 944-0594 |
NPI Number | 1093010084 |
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Provider Enumeration Date | 01/21/2011 |
Last Update Date | 01/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093010084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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