Individual
ANGELA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 CLINE AVE, MANSFIELD, OH 44907-1057
(614) 339-1649
Mailing address
370 CLINE AVE, MANSFIELD, OH 44907-1057
(614) 339-1649
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
03/10/2020
Last updated
03/10/2020
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