Individual
JAKESHIA LYNETTE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 KING GEORGE BLVD APT 5, SAVANNAH, GA 31419-9504
(912) 433-0618
Mailing address
11935 ABERCORN ST, SAVANNAH, GA 31419-1918
(912) 344-3109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/19/2023
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