Individual
GENESIS PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 EUSTIS ST, ROXBURY, MA 02119-3800
(857) 339-3099
Mailing address
302 EUSTIS ST, ROXBURY, MA 02119-3800
(857) 339-3099
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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