Individual
YAMILET PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MAGNOLIA AVE SW, WINTER HAVEN, FL 33880-2943
(863) 229-7950
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 291-5110
(863) 268-7899
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22110
FL
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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