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Mandy Pena
NPI 1598602682 · on the registry since 2026 · sole proprietor
Practice
- Address
- 5246 W Overland Rd
Boise, ID 83705 - Phone
- (208) 407-0574
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho