Individual
JACQUELINE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
Mailing address
5908 SWEETWATER DR NW, ALBUQUERQUE, NM 87120-2244
(505) 934-5135
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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