Individual
LARISA ANNETTE PETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21818 SHIRK RD, MARYSVILLE, OH 43040-8200
(937) 645-7661
Mailing address
21818 SHIRK RD, MARYSVILLE, OH 43040-8200
(937) 645-7661
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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