Individual
PEGGY JANE HAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335
(951) 643-2340
Mailing address
4337 ALTA VISTA DR, RIVERSIDE, CA 92506-0127
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
528196
CA
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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