Lisett Carolina Pena

NPI #1104543420 in Cathlamet, Washington

Provider Information

NPI Number: 1104543420
Entity Type: Individual
Name: Lisett Carolina Pena
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 26, 2022
Last Updated: Oct 26, 2022

Practice Location

Address: 427 COLUMBIA ST
City: Cathlamet
State: Washington
ZIP Code: 98612-9566
Phone: (564) 201-0104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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