Individual
MRS. ERNESTINA PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19109 W CATAWBA AVE STE 200, CORNELIUS, NC 28031-5614
(844) 607-2113
Mailing address
19109 W CATAWBA AVE STE 200, CORNELIUS, NC 28031-5614
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
TFX7283
NC
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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