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Individual

SUSANA PENA SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SA-C

Contact information

Practice address
12507 COVE LANDING DR, CYPRESS, TX 77433-3082
(832) 769-7815
Mailing address
12507 COVE LANDING DR, CYPRESS, TX 77433-3082
(832) 769-7815

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-504
WI

Other

Enumeration date
01/12/2019
Last updated
02/23/2019
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