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Sirkka Peckenpaug, LPN

Licensed Practical Nurse in Hanover, MD. Individual provider (NPI-1).

NPI number1760742829
StatusActive
Last updated in NPPESMay 23, 2012

Details

NPI
1760742829
Entity type
Individual (NPI-1)
Name
Ms. Sirkka Peckenpaug
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
May 23, 2012
Last updated
May 23, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN1003311DCYes

Practice location

7789 Arundel Mills Blvd
Apt # 203
Hanover, MD 21076-1996

Phone 240-460-8472

Mailing address

7789 Arundel Mills Blvd
Apt # 203
Hanover, MD 21076-1996

Phone 240-460-8472

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