Cynthia Peacock LPN

NPI 1104028356 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1104028356
Gender Female
Enumeration Date 06/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2250 HICKORY RD
SUITE 240
PLYMOUTH MEETING PA, 19462-1047, US
Phone (610) 834-1122
Fax
Business Location
7001 BEACON PL
RIVERDALE MD, 20737-1773, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State DO Columbia
License Number LPN8074
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According to our database, Cynthia Peacock LPN NPI is 1104028356, taxonomy code is 164W00000X and license number is LPN8074, license state is located at DO Columbia. Cynthia Peacock LPN physically located at 2250 Hickory Rd, Plymouth Meeting PA, 19462-1047. NPI Number Cynthia Peacock LPN has the Individual type.

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1104028356 NPI number is provided on an as is basis without warranty of any kind. 1104028356 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia Peacock LPN are for informational purposes only.