Individual
EDWARD PEGUERO
Active
Individual
EDWARD PEGUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ORTHOTIST
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/04/2011
Last updated
05/12/2014
Update your record
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