Individual
PEK U IEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 WELSH RD, PHILADELPHIA, PA 19115-3730
(215) 676-9191
Mailing address
313 W WILDEY ST, PHILADELPHIA, PA 19123-2224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP026722
PA
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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