Individual
DARION PEGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3530 KELSEY ST, SAN DIEGO, CA 92124-3516
(901) 864-4770
Mailing address
3530 KELSEY ST, SAN DIEGO, CA 92124-3516
(901) 864-4770
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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