Individual
RAYMOND DAVID PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 UNIVERSITY PLZ, YOUNGSTOWN, OH 44555-0001
(330) 941-3547
Mailing address
5834 WEST BLVD, BOARDMAN, OH 44512-2743
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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