ANA PENA

POCATELLO, ID
NPI1609162031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: UT  322057-4701)
Enumeration Date2011-06-23
Last Update Date2011-06-23
Business Address
-- ANA PENA MMP, LMT
420 W LEWIS ST
POCATELLO, ID 83204-3218
Phone number: 208-233-2502
Mailing Address
-- ANA PENA MMP, LMT
420 W LEWIS ST
POCATELLO, ID 83204-3218
Phone number: 208-233-2502
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