Individual
ANA ODALYS PENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 E 3RD ST APT 317, HIALEAH, FL 33010-4971
(405) 609-4567
Mailing address
149 E 3RD ST APT 317, HIALEAH, FL 33010-4971
(405) 609-4567
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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