Individual
JOSELIN PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2490 SEGGOLIA LN, KISSIMMEE, FL 34741-7962
(917) 517-4900
Mailing address
2490 SEGGOLIA LN, KISSIMMEE, FL 34741-7962
(917) 517-4900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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