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INDHIRA Y PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SA-C

Contact information

Practice address
415 NW 109TH AVE, PEMBROKE PINES, FL 33026-4056
(954) 398-0347
Mailing address
415 NW 109TH AVE, PEMBROKE PINES, FL 33026-4056
(954) 398-0347

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-361

Other

Enumeration date
07/06/2020
Last updated
06/14/2024
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