Individual
MRS. ROYCE SARAH PEPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-5596
Mailing address
4524 S NANCY DR, CRYSTAL LAKE, IL 60014-6463
(815) 477-0873
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
209.008757
IL
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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