Individual
MRS. MARY KHIMBERLY PENA CABALQUINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
319 S G ST, WELLINGTON, KS 67152-3123
(620) 218-3692
Mailing address
319 S G ST, WELLINGTON, KS 67152-3123
(620) 218-3692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5254
OK
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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