Individual
ANGELENNA LEA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 W HOLMES RD STE 2, LANSING, MI 48910-0324
(517) 214-7323
Mailing address
1819 PEPPERTREE LN, LANSING, MI 48912-3724
(517) 214-7323
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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