Individual
GAIL ANN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6615 RIVERDALE RD, RIVERDALE, MD 20737-2908
(301) 918-0095
(301) 918-0097
Mailing address
6615 RIVERDALE RD, RIVERDALE, MD 20737-2908
(301) 918-0095
(301) 918-0097
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT11093-TPA
CA
152W00000X
Optometrist
TA1874
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434752
—
MD
Enumeration date
12/29/2006
Last updated
06/20/2024
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