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Individual

SANDRA S PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
48677 VICTORIA LN, OAKHURST, CA 93644-9216
(559) 683-6331
Mailing address
PO BOX 28900, FRESNO, CA 93729
(559) 228-4205
(559) 224-3920

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
GU325Y
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GU325Y
MEDICARE ID-TYPE UNSPECIFIED
CA
Enumeration date
01/12/2006
Last updated
05/23/2013
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