Individual
ANGEL FERNANDO BARRIOS PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
9637717
FL
246ZC0007X
Surgical Assistant
21-740
TX
Other
Enumeration date
12/28/2021
Last updated
08/07/2023
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