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Individual

ANALIESE MARIE PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5886 DE ZAVALA RD # 102-493, SAN ANTONIO, TX 78249-2268
(210) 802-4808
Mailing address
2022 3RD ST, FLORESVILLE, TX 78114-2907

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113446
TX

Other

Enumeration date
02/19/2018
Last updated
02/19/2018
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