Individual
JAKE ANTHONY PECCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, EMT-P
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 752-2455
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 752-2455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
768702
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
768702
CA
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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