Individual
ANGELA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12812 OLD GLENN HWY STE B2, EAGLE RIVER, AK 99577-7002
(907) 290-9595
Mailing address
2031 E 74TH AVE # 13A, ANCHORAGE, AK 99507-2774
(907) 215-0247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
209035
AK
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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