Individual
ANDREA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4000
Mailing address
2624 LAKE OAKS RD, WACO, TX 76710-1616
(903) 571-5142
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
302691
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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