Individual
JOSE MIGUEL PEGUERO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1542 OAKLAND ST, BETHLEHEM, PA 18017-5968
(484) 330-6693
Mailing address
2211 MACK BLVD, ALLENTOWN, PA 18103-5623
(610) 898-3802
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
PA
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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