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Individual

MRS. LUCY J PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
28106 SUGARSIDE GLEN DR, KATY, TX 77494
(832) 264-3644
(281) 493-7028
Mailing address
28106 SUGARSIDE GLEN, KATY, TX 77494
(832) 264-3644

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
TX

Other

Enumeration date
02/26/2020
Last updated
02/26/2020
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