Gilberto Pena JR., LMT

NPI #1093100133 in Woodstock, Georgia

Provider Information

NPI Number: 1093100133
Entity Type: Individual
Name: Gilberto Pena JR., LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 6, 2015
Last Updated: Apr 6, 2015

Practice Location

Address: 4994 WILLOW CREEK DR
City: Woodstock
State: Georgia
ZIP Code: 30188-4375
Phone: (678) 848-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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