Individual
CLARISSA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
685 ASHFORD OAKS DR APT 205, ALTAMONTE SPRINGS, FL 32714-5562
(610) 207-3228
Mailing address
685 ASHFORD OAKS DR APT 205, ALTAMONTE SPRINGS, FL 32714-5562
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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