| Natosha Pena | |
|
7807 Airline Dr Ste 210 Metairie LA 70003-6437 | |
| (504) 717-8592 | |
| Not Available |
| Full Name | Natosha Pena |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7807 Airline Dr Ste 210, Metairie, Louisiana |
| Authorized Official Name and Position | Natosha Pena (OWNER) |
| Authorized Official Contact | 5047178592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natosha Pena 2115 Illinois Ave Kenner LA 70062-5920 Ph: (504) 717-8592 | Natosha Pena 7807 Airline Dr Ste 210 Metairie LA 70003-6437 Ph: (504) 717-8592 |
| NPI Number | 1861919185 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 08/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861919185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5056 (Louisiana) | Primary |
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