Individual
TONYA MARIE MCPEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 GRAND PARK DR STE 203, PARKERSBURG, WV 26105-4049
(304) 422-9293
Mailing address
417 GRAND PARK DR STE 203, PARKERSBURG, WV 26105-4049
(304) 422-9293
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
14899
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14899
—
WV
Enumeration date
09/14/2022
Last updated
09/14/2022
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