Individual
MRS. PEGGY IRENE PELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CONTRA COSTA STREET, VALLEJO, CA 94590-6352
(707) 644-6612
(707) 644-7905
Mailing address
PO BOX 3069, VALLEJO, CA 94590-0680
(707) 644-6612
(707) 644-7905
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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