Individual
MS. TONYA RENEE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26300 FORD RD # 418, DEARBORN HEIGHTS, MI 48127-2854
(313) 355-7640
Mailing address
26300 FORD RD # 418, DEARBORN HEIGHTS, MI 48127-2854
(313) 355-7640
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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