Individual
MRS. SHELLEY KAREE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10311 BITTERSWEET ST NW, COON RAPIDS, MN 55433
(763) 427-8817
Mailing address
10311 BITTERSWEET ST NW, COON RAPIDS, MN 55433
(763) 427-8817
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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