Individual
MISS MISTY DAWN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7202
Mailing address
2380 NIGHTINGALE LN, KISSIMMEE, FL 34746-3643
(407) 414-2842
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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