Individual
SARAH C PENEGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 S AMPHLETT BLVD STE 120, SAN MATEO, CA 94402-2711
(650) 683-2422
Mailing address
1700 S AMPHLETT BLVD STE 120, SAN MATEO, CA 94402-2711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95327491
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95327491
CA
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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