Individual
MARIELA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 CHERRY RIDGE ST, SAN ANTONIO, TX 78230-4823
(210) 692-0222
Mailing address
10102 INGRAM RD APT 8201, SAN ANTONIO, TX 78245-1193
(956) 319-5558
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
38944
TX
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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