Individual
CHRISTINA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12230 COIT RD, DALLAS, TX 75251-2322
(469) 374-6430
Mailing address
3307 LEMMONTREE LN, PLANO, TX 75074-3106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
841066
TX
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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