Individual
MS. JENNIFER PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 CLARK COLLEGE DR., DALLAS, TX 75241
(972) 916-1524
Mailing address
4160 CLARK COLLEGE DR, DALLAS, TX 75241
(972) 916-1524
(972) 225-1691
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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