Individual
ALBERTA PEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 SCHENCK AVE, BEACON, NY 12508-2850
(845) 784-8997
Mailing address
PO BOX 643, GLENHAM, NY 12527-0643
(845) 784-8997
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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