Individual
JENNIFER RABEKKA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5262 S 236TH CIR, BUCKEYE, AZ 85326-7207
(623) 302-1994
Mailing address
5262 S 236TH CIR, BUCKEYE, AZ 85326-7207
(623) 302-1994
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048330
AZ
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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