Individual
MS. KATHLEEN MARIE PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
11670 ATWOOD RD, AUBURN, CA 95603-9522
(530) 887-2800
(530) 887-2202
Mailing address
615 OAKHAVEN RD, AUBURN, CA 95603-4029
(530) 888-8745
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
153753
CA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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