Individual
JODY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4002 HOAGLAND BLACKSTUB RD, CORTLAND, OH 44410-9215
(330) 980-3145
Mailing address
4002 HOAGLAND BLACKSTUB RD, CORTLAND, OH 44410-9215
(330) 980-3145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN351489
OH
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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