Individual
MRS. ABIGAIL PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E GOODWIN ST STE G, PRESCOTT, AZ 86303-3926
(928) 275-1193
Mailing address
115 E GOODWIN ST STE G, PRESCOTT, AZ 86303-3926
(928) 275-1193
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21506
AZ
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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