Individual
KARLA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 KCTM FM 103 RD, RIO GRANDE CITY, TX 78582-9629
(956) 570-3133
Mailing address
115 KCTM FM 103 RD, RIO GRANDE CITY, TX 78582-9629
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
37817
TX
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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