Individual
MRS. BRENDA ORTIZ PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 KIMBALL LN, SUITE 310, LYNNFIELD, MA 01940-2682
(781) 246-2010
Mailing address
15 RAMSDELL PL, LYNN, MA 01904-2724
(857) 251-4488
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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