Individual
DIXIE DIANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
Mailing address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN246532
OH
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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