Individual
SETH TIMOTHY PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 CENTER ST, CHICOPEE, MA 01013-1611
(413) 540-1234
(413) 534-2889
Mailing address
152 CENTER ST, CHICOPEE, MA 01013-1611
(413) 540-1234
(413) 534-2889
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN63083
MA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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