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NPI Code Detail

MEDICARE: ROSELLA PENA

MEDICARE: ROSELLA PENA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant35310TX

General Provider Information

NPI Number : 1114258548
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSELLA PENA
Provider Business Mailing Address
First Line : 6028 SURETY DR
Second Line :
City : EL PASO
State : TX
Zip : 79905-2024
Country : US
Telephone Number : 915-781-2901
Fax Number :
Provider Business Practice Location Address
First Line : 6028 SURETY DR
Second Line :
City : EL PASO
State : TX
Zip : 79905-2024
Country : US
Telephone Number : 915-771-8523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2010
Last Update Date : 01/25/2010

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Directions to “ ROSELLA PENA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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