Randall Pena
NPI #1982080594 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1982080594
- Entity Type
- Individual
- Name
- Randall Pena
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 5, 2015
- Last Updated
- Aug 5, 2015
Practice Location
- Address
- 411 RAILROAD AVE APT 1
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-3934
- Phone
- (505) 454-5128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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