Individual
DANA LYNN PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
919 MYER LN, KERMIT, TX 79745-4620
(432) 488-7551
Mailing address
919 MYER LN, KERMIT, TX 79745-4620
(432) 488-7551
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
212029
TX
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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