LISETTE PENA

MESA, AZ
NPI1023775988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: AZ  LM250)
Enumeration Date2021-11-25
Last Update Date2021-11-25
Business Address
LISETTE PENA LM, CPM
4121 E PUEBLO AVE
MESA, AZ 85206-5124
Phone number: 602-705-2307
Mailing Address
LISETTE PENA LM, CPM
2113 S NIELSON ST
GILBERT, AZ 85295-5428
Phone number: 602-705-2307