Individual
MARILYN LEE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRTT
Contact information
Practice address
699 W MAGEE RD APT 5101, TUCSON, AZ 85704-4666
(520) 300-1551
Mailing address
699 W MAGEE RD APT 5101, TUCSON, AZ 85704-4666
(520) 300-1551
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
006538
AZ
2278E0002X
Emergency Care Certified Respiratory Therapist
006538
AZ
2278G1100X
General Care Certified Respiratory Therapist
006538
AZ
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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