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Individual

DR. DIANA MARISOL PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4101 IH 69 ACCESS RD STE C, CORPUS CHRISTI, TX 78410-4543
(361) 241-9381
(361) 241-2661
Mailing address
4101 IH 69 ACCESS RD STE C, CORPUS CHRISTI, TX 78410-4543
(361) 241-9381
(361) 241-2661

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65093
TX

Other

Enumeration date
11/25/2020
Last updated
11/25/2020
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