Individual
ANGELA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5667 OLD BLUE ROCK RD, 59, CINCINNATI, OH 45247-2767
(513) 609-9950
Mailing address
5667 OLD BLUE ROCK RD, 59, CINCINNATI, OH 45247-2767
(513) 609-9950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.158844-M-IV
OH
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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