Individual
CANDICE A PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
157 BALTIMORE ST, CUMBERLAND, MD 21502
(301) 722-3215
Mailing address
13927 OLD STAGE RD, BOWIE, MD 20720-4813
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D72778
MD
208100000X
Physical Medicine & Rehabilitation Physician
MT191350
PA
Other
Enumeration date
07/05/2007
Last updated
09/09/2019
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