Individual
BRETT PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
Mailing address
900 N STAFFORD ST, ARLINGTON, VA 22203-1842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001286312
NY
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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