Individual
YOMEIDA DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, CES
Contact information
Practice address
2653 MCKINZIE RD, CORPUS CHRISTI, TX 78410
(361) 903-6725
Mailing address
544 OLYMPIC, PORTLAND, TX 78374-1241
(832) 332-4377
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5977
TX
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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