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Ana Pena, MMP, LMT

NPI 1609162031 · on the registry since 2011 · sole proprietor

Practice

Address
420 W Lewis St
Pocatello, ID 83204
Phone
(208) 233-2502
Clinicians at this address
2

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-23

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