Individual
JENNIFER M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7120
Mailing address
1920 BELMONT RD NW APT A, WASHINGTON, DC 20009-5490
(202) 309-0810
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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