Individual
SARA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2885 E GRANT ST STE B, ROMA, TX 78584-8914
(956) 847-4055
Mailing address
776 E GRANT ST, ROMA, TX 78584-8091
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35918
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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