Individual
FAITH E PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6308 MONROVIA ST, SHAWNEE, KS 66216-2740
(913) 631-8888
(913) 962-1627
Mailing address
6308 MONROVIA ST, SHAWNEE, KS 66216-2740
(913) 631-8888
(913) 962-1627
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
2001005092
MO
111NN1001X
Nutrition Chiropractor
Primary
T-03462
KS
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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