Individual
CEDRICK JOHN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 448-8145
Mailing address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 448-8145
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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