MISS Maya Sharia Peacock, LPN

NPI #1942469473 in Fremont, Ohio

Provider Information

NPI Number
1942469473
Entity Type
Individual
Name
MISS Maya Sharia Peacock, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jun 9, 2008
Last Updated
Jun 9, 2008

Practice Location

Address
915 STILWELL AVE
State
Ohio
ZIP Code
43420-2022
Phone
(419) 334-3073

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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