Individual
PAYTON ELIZABETH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 CENTURY LN, HOLLAND, MI 49423-4285
(616) 396-2301
Mailing address
951 FULTON ST W APT 1, GRAND RAPIDS, MI 49504-6260
(616) 551-6506
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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