Individual
KIA MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 ANACOSTIA RD SE APT L32, WASHINGTON, DC 20019-7112
(202) 570-3838
Mailing address
145 RIVERHAVEN DR UNIT 126, OXON HILL, MD 20745-1057
(202) 657-1511
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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