Individual
STACY ANN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6877 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1600
(702) 331-4874
Mailing address
212 WICKED WEDGE WAY, LAS VEGAS, NV 89148-2691
(323) 453-3866
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
08/11/2015
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