Kenny Jandiel Pena
NPI #1891563110 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1891563110
- Entity Type
- Individual
- Name
- Kenny Jandiel Pena
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Dec 15, 2023
- Last Updated
- Dec 27, 2023
Practice Location
- Address
- 504 DUDLEY ST
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02119-2732
- Phone
- (617) 445-6655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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