Individual
DYSHANELL JARQUEAL-DAKOTA PEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 HERITAGE WAY, SAVANNAH, GA 31419-9845
(912) 463-8423
Mailing address
62 HERITAGE WAY, SAVANNAH, GA 31419-9845
(912) 463-8423
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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