Individual
ANA MARIA PENA ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BROADHURST RD, JACKSONVILLE, NC 28540-3551
(910) 455-2211
Mailing address
404 MAPLE ST, JACKSONVILLE, NC 28540-4917
(910) 455-2211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01-0001221
DE
235Z00000X
Speech-Language Pathologist
121643
TX
235Z00000X
Speech-Language Pathologist
Primary
12669
NC
Other
Enumeration date
10/10/2011
Last updated
06/08/2026
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