Individual
MISS JESSICA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4343 W FLAGLER ST STE 100, CORAL GABLES, FL 33134-1585
(305) 774-9570
Mailing address
4343 W FLAGLER ST STE 100, CORAL GABLES, FL 33134-1585
(305) 774-9570
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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