Individual
GRISEL PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
200 NW 87TH AVE, J216, MIAMI, FL 33172-4585
(954) 263-7925
Mailing address
200 NW 87TH AVE, J216, MIAMI, FL 33172-4585
(954) 263-7925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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