Individual
MARY PECKENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 SIERRA RD, CONCORD, CA 94518
(925) 363-2005
Mailing address
2000 SIERRA ROAD, CONCORD, CA 94518
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
311218
CA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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