Individual
MS. KAREN SHREE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 NE BRADLEY TER, LAKE CITY, FL 32055
(386) 288-3496
Mailing address
311 NE BRADLEY TER, LAKE CITY, FL 32055
(386) 288-3496
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/20/2021
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