Jacqueline Pean
NPI #1134431596 in Loganville, Georgia
Provider Information
- NPI Number
- 1134431596
- Entity Type
- Individual
- Name
- Jacqueline Pean
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jul 13, 2010
- Last Updated
- Jul 13, 2010
Practice Location
- Address
- 3188 KRISAM CREEK DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-7907
- Phone
- (404) 553-6671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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