Individual
JINXIA PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9823 BISCAYNE DR, JOHNSTON, IA 50131-3002
(203) 752-8950
Mailing address
9823 BISCAYNE DR, JOHNSTON, IA 50131-3002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A159964
IA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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