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Julissa Pena
NPI 1144587429 · on the registry since 2012 · sole proprietor
Practice
- Address
- 359 Lowell St
Lawrence, MA 01841 - Phone
- (978) 973-9734
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101Y00000X
103T00000X - Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-11
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 Massachusetts