Individual
TWANA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3086 STATE ROUTE 27 STE 2, KENDALL PARK, NJ 08824-1658
(732) 668-1044
Mailing address
3086 STATE ROUTE 27 STE 2, KENDALL PARK, NJ 08824-1658
(732) 668-1044
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
10/17/2022
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