Individual
MANDOLYN MAE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1979 COUNTY ROAD 3327, GREENVILLE, TX 75402-8607
(903) 883-4613
Mailing address
1979 COUNTY ROAD 3327, GREENVILLE, TX 75402-8607
(903) 883-4613
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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