Individual
NANCY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 E OAK ST, FREMONT, MI 49412-1654
(231) 924-9269
Mailing address
414 E OAK ST, FREMONT, MI 49412-1654
(231) 924-9269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704289663
MI
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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