Individual
MISS LORENA CAROLINA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1601 W MCINTYRE ST, APT 3, EDINBURG, TX 78541-2906
(956) 984-9344
Mailing address
1601 W MCINTYRE ST, APT 3, EDINBURG, TX 78541-2906
(956) 984-9344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81913
TX
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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