Individual
SUSAN PEHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8832
Mailing address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8832
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5182465
FL
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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