Individual
KENIEL PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2721 SW 137TH AVE STE 108, MIAMI, FL 33175-6355
(786) 308-6024
Mailing address
2721 SW 137TH AVE STE 108, MIAMI, FL 33175-6355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
07/31/2023
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