Individual
MS. DEBRA SHERETA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 LAKEVIEW DR, NEWPORT NEWS, VA 23602-6414
(757) 872-8960
Mailing address
PO BOX 2182, NEWPORT NEWS, VA 23609
(757) 218-5580
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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