Individual
JENNAY AVE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
289 N WYCOMBE AVE, LANSDOWNE, PA 19050-1733
(610) 937-3448
Mailing address
289 N WYCOMBE AVE, LANSDOWNE, PA 19050-1733
(610) 937-3448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000205483
TN
163W00000X
Registered Nurse
652288
PA
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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