Individual
MS. CASANDRA CATRICE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2944 22ND ST, NIAGARA FALLS, NY 14305-2106
(716) 236-7381
Mailing address
2944 22ND ST, NIAGARA FALLS, NY 14305-2106
(716) 236-7381
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
273295
NY
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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