Most Relevant Information
Provider Data
| NPI Number: | 1003273368 |
| Provider Name: | ANGELIN ISABEL PENA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/18/2016 |
| Last Updated: | 01/18/2016 |
Provider Practice Location
599 CANAL ST
LAWRENCE
MA
018401244
Practice Location Phone/Fax
| Phone: | 9786868202 |
| Fax: |
Provider Mailing Location
599 CANAL ST
LAWRENCE
MA
018401244
Provider Mailing Phone/Fax
| Phone: | 9786868202 |
| Fax: |