Individual
ROBERT WAYNE PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1315 E DIVISION ST, MOUNT VERNON, WA 98274-4134
(360) 734-5410
(360) 816-1652
Mailing address
1315 E DIVISION ST, MOUNT VERNON, WA 98274-4134
(360) 734-5410
(360) 816-1652
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00046874
WA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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