Individual
MRS. KELLY TERESA PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
36921 COOK ST STE 102, PALM DESERT, CA 92211-6070
(760) 836-9066
Mailing address
2193 E DEL LAGO RD, PALM SPRINGS, CA 92262-2511
(805) 746-2696
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95022984
CA
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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