Individual
MS. MARISA PENA-ALFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCCE, CD
Contact information
Practice address
14680 PERTHSHIRE RD APT A, HOUSTON, TX 77079-7636
(713) 823-5033
Mailing address
14680 PERTHSHIRE RD APT A, HOUSTON, TX 77079-7636
(713) 823-5033
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
4020
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MARISAGENAIL
—
TX
05
—
MARISAGENIAL
—
TX
Enumeration date
08/04/2010
Last updated
08/04/2010
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