Individual
MAIRYN GARCIA PENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16041 SW 304TH ST, HOMESTEAD, FL 33033-3316
(786) 608-9170
Mailing address
16041 SW 304TH ST, HOMESTEAD, FL 33033-3316
(786) 608-9170
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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