Individual
MRS. JACLYN M PEDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 TER HEUN DR, FALMOUTH, MA 02540-2503
(508) 457-3580
Mailing address
100 TER HEUN DR, FALMOUTH, MA 02540-2503
(508) 457-3580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2289121
MA
367500000X
Certified Registered Nurse Anesthetist
345574
OH
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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