Individual
TIARA JANAYE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3005 BLADENSBURG RD NE, WASHINGTON, DC 20018-2265
(202) 904-3185
Mailing address
3005 BLADENSBURG RD NE, WASHINGTON, DC 20018-2265
(202) 904-3185
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/28/2023
Last updated
08/01/2024
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