Individual provider · Type 1 NPI

Tararoth Pen Keo

Family Nurse Practitioner · Lancaster, CA

NPI number 1205689783 Active

Practice location

43932 15th St W Ste 103
Lancaster, CA 93534-5234

Call (661) 945-7755 Map

Mailing address

1134 Brianna Ave
Lancaster, CA 93535-2931

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95029648 (CA)

Family Nurse Practitioner: Definition to come...

Another provider at this address

Other family nurse practitioner providers in Lancaster

See all in Lancaster →

About NPI 1205689783

Tararoth Pen Keo's National Provider Identifier is 1205689783, issued on Apr 8, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lancaster, CA. The record was last updated on Apr 8, 2024.