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Individual

LESLIE EDNIS PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1005 E 10TH ST STE A, WESLACO, TX 78596-5133
(956) 968-9898
(956) 968-9840
Mailing address
412 TIERRA LINDA BLVD, PALMVIEW, TX 78572-5567
(956) 451-0053

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36521
TX

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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