Individual
MRS. CRYSTAL PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
40 W BROWN RD # 108, MESA, AZ 85201-3400
(480) 567-9784
(480) 955-0980
Mailing address
6242 E MCLELLAN RD, MESA, AZ 85205-3638
(480) 531-4015
(480) 955-0980
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
187
AZ
Other
Enumeration date
09/24/2010
Last updated
01/05/2021
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