Individual
MARIA NICOLE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7710 W IH 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Mailing address
7710 W IH 10, SAN ANTONIO, TX 78230-4711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
164X00000X
Licensed Vocational Nurse
Primary
170599
TX
Other
Enumeration date
11/21/2018
Last updated
11/21/2025
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