Individual
VERNON PETERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12384 EVANSTON ST, DETROIT, MI 48213-1792
(313) 285-4028
Mailing address
12384 EVANSTON ST, DETROIT, MI 48213-1792
(313) 285-4028
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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