Individual
DEBRA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1515 GREENWOOD AVE, JACKSON, MI 49203-4047
(517) 787-5710
Mailing address
1200 SYLVAN RD, CHELSEA, MI 48118-9797
(734) 646-4883
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703102665
MI
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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