Individual
WENDY B PENA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACTIVITIES COORDINAT
Contact information
Practice address
535 S 2ND AVE, COVINA, CA 91723-3013
(626) 214-1480
Mailing address
535 S 2ND AVE, COVINA, CA 91723-3013
(626) 214-1480
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
CA
Other
Enumeration date
04/07/2020
Last updated
04/08/2020
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