Individual
MS. PEGGY BRASSELL JUDD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
805 RIVER RD, KCHU/FP, DOVER, DE 19901-3753
(302) 739-4728
(302) 739-7735
Mailing address
139 PINE CONE DR, DOVER, DE 19901-1965
(302) 739-4728
(302) 739-7735
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0004326
DE
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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