Individual
MRS. ROXANNE L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2849 227TH LN NE, EAST BETHEL, MN 55005-9208
(763) 434-0747
Mailing address
2849 227TH LN NE, EAST BETHEL, MN 55005-9208
(763) 434-0747
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R 160305-3
MN
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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