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Individual

MS. SIRKKA PECKENPAUG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
7789 ARUNDEL MILLS BLVD, APT # 203, HANOVER, MD 21076-1996
(240) 460-8472
Mailing address
7789 ARUNDEL MILLS BLVD, APT # 203, HANOVER, MD 21076-1996
(240) 460-8472

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1003311
DC

Other

Enumeration date
05/23/2012
Last updated
05/23/2012
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