Individual
MS. LORETTA ELAINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 BROOKSHIRE CIR, GARLAND, TX 75043-5019
(214) 450-0204
(972) 279-1681
Mailing address
1006 BROOKSHIRE CIR, GARLAND, TX 75043-5019
(214) 450-0204
(972) 279-1681
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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