Individual
SUSAN CHRISTINE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S MAIN ST, WEST MILTON, OH 45383-1409
(937) 546-1130
Mailing address
600 S MAIN ST, WEST MILTON, OH 45383-1409
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
5505100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5505100
—
OH
Enumeration date
12/31/2020
Last updated
12/31/2020
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