Individual
DARENESHA EVETTE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8424 HOOPER AVE, LOS ANGELES, CA 90001-3741
(323) 798-6250
Mailing address
1205 E 84TH PL, LOS ANGELES, CA 90001-3723
(760) 269-6675
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F7878513
MEDICAL
CA
Enumeration date
12/05/2018
Last updated
09/16/2020
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