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Individual
IDALIA PENALOZA
Active
Individual
IDALIA PENALOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116695
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
04/28/2021
Last updated
05/04/2021
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