Individual
TYMERRA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHASE CORPORATE DR, HOOVER, AL 35244-1026
(205) 747-5014
Mailing address
309 18TH AVE NW, CENTER POINT, AL 35215-5225
(205) 538-5559
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2019-00044952
AL
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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