Individual
DR. PEGGY BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM, MPH, DACVPM
Contact information
Practice address
49620 BELUGA RD, BLDG 194, RM 111, SAN DIEGO, CA 92152-6505
(619) 553-1869
(619) 553-6295
Mailing address
53560 HULL ST, SAN DIEGO, CA 92152-5001
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
19157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19157
VETERINARY LICENSE
CA
Enumeration date
10/24/2016
Last updated
10/24/2016
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