Individual
JENNIFER PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S B ST UNIT 1, VIRGINIA CITY, NV 89440-9829
(775) 430-0305
Mailing address
PO BOX 325, VIRGINIA CITY, NV 89440-0325
(775) 430-0305
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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