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NPI Code Detail

MEDICARE: MRS. BUMA VICTORINE PEKANZE

MEDICARE: MRS. BUMA VICTORINE PEKANZE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1124371216
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BUMA VICTORINE PEKANZE
Provider Business Mailing Address
First Line : 6475 NEW HAMPSHIRE AVE STE 504F
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3277
Country : US
Telephone Number : 301-560-1352
Fax Number :
Provider Business Practice Location Address
First Line : 6475 NEW HAMPSHIRE AVE STE 504F
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3277
Country : US
Telephone Number : 301-560-1352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2012
Last Update Date : 02/27/2018

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Directions to “ MRS. BUMA VICTORINE PEKANZE ” Practice Location

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