Individual
CAMILLE R PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 41ST ST, VIENNA, WV 26105-1747
(304) 210-0119
Mailing address
403 41ST ST, VIENNA, WV 26105-1747
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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