Individual
FATIMAH PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 WOODLAND AVE, PHILADELPHIA, PA 19143-5137
(888) 296-4772
Mailing address
1516 S 58TH ST, PHILADELPHIA, PA 19143-4526
(267) 324-9297
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH075442
PA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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