Individual
MRS. KALEE RENEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4726 MAIN AVE, ASHTABULA, OH 44004-6929
(440) 992-8552
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 992-8552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
406236
OH
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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