Individual
BAILEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 MYERS DR, COCHRANVILLE, PA 19330-1018
(717) 435-2353
Mailing address
9 MYERS DR, COCHRANVILLE, PA 19330-1018
(717) 435-2353
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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