NPI 1053182766

Jose Miguel Peguero, LPN

Practitioner Driver Bethlehem, PA

Practice location

Address: 1542 Oakland St, Bethlehem, PA 18017-5968
Phone: (484) 330-6693
Mailing address: 2211 Mack Blvd, Allentown, PA 18103-5623

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1053182766
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jan 2024
Record last updated: 11 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.