Individual
MRS. JANINE DANETTE PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
32375 N GANTZEL RD, SAN TAN VALLEY, AZ 85143-5110
(480) 474-6100
(480) 888-0679
Mailing address
PO BOX 2850, FLORENCE, AZ 85132-3053
(480) 474-6100
(480) 888-0679
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN154296
AZ
Other
Enumeration date
04/01/2009
Last updated
10/22/2013
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