Organization
KATHLEEN PETERMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN ELLEN PETERMAN LPN (LPN)
(772) 225-5777
Entity
Organization
Contact information
Practice address
611 S SEAS, JENSEN BEACH, FL 34957-5341
(772) 225-5777
Mailing address
611 S SEAS, JENSEN BEACH, FL 34957-5341
(772) 225-5777
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
PN931913
FL
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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