Individual
MARICELA TREVINO-PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 E GRIFFIN PKWY STE B, MISSION, TX 78572-3106
(956) 585-2439
Mailing address
1904 E GRIFFIN PKWY STE B, MISSION, TX 78572-3106
(956) 585-2439
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34418
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
05/13/2019
Last updated
05/13/2019
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