Individual
JUDY J PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6862 GLORIA DR, SACRAMENTO, CA 95831-2440
(916) 929-2598
(916) 970-5278
Mailing address
6862 GLORIA DR, SACRAMENTO, CA 95831-2440
(916) 929-2598
(916) 970-5278
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/11/2015
Last updated
10/26/2015
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