Individual
VICTORIA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABOC, NCLEC
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
220404
—
156FX1800X
Optician
Primary
220404
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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