Individual
MRS. BETH ANN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 CRESCENT ST, PARKERSBURG, WV 26101-6915
(304) 615-5116
(304) 485-5132
Mailing address
1511 CRESCENT ST, PARKERSBURG, WV 26101-6915
(304) 615-5116
(304) 485-5132
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2392656
—
OH
Enumeration date
05/07/2007
Last updated
07/08/2007
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