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Individual

MRS. HELEN PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1704 SERENDIPITY DR, PALMHURST, TX 78573-0253
(956) 458-1859
Mailing address
1704 SERENDIPITY DR, PALMHURST, TX 78573-0253
(956) 458-1859

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
884781
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42
TX
05
74
TX
Enumeration date
05/11/2017
Last updated
05/11/2017
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