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Individual

CHRISTINE PENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
250 DECOVERLY DR, GAITHERSBURG, MD 20878-4673
(301) 814-4881
Mailing address
250 DECOVERLY DR, GAITHERSBURG, MD 20878-4673
(301) 814-4881

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R217483
MD

Other

Enumeration date
01/13/2021
Last updated
01/13/2021
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