Individual
MARVIN ANTONIO PENA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
COMDT (CG-1122) US COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(310) 732-7500
Mailing address
COMDT (CG-1122) US COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(310) 732-7500
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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