Individual
JAMIE PEGLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
(818) 654-9878
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
(818) 654-9878
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN234505
CA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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