Individual
MARISA LIZBETH PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6316 N 10TH ST STE G701, MCALLEN, TX 78504-3892
(956) 972-0404
Mailing address
6316 N 10TH ST STE G701, MCALLEN, TX 78504-3892
(956) 972-0404
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
38261
TX
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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