Individual
JAQUELYN PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2188 STATE HIGHWAY 46 W STE 102, NEW BRAUNFELS, TX 78132-4467
(830) 302-3357
(830) 302-3358
Mailing address
2188 STATE HIGHWAY 46 W STE 102, NEW BRAUNFELS, TX 78132-4467
(830) 302-3357
(830) 302-3358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11109
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2023
Last updated
06/26/2024
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