Individual
SHELLY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 ANDOVER DR, LONDON, OH 43140-1600
(614) 972-0046
Mailing address
309 ANDOVER DR, LONDON, OH 43140-1600
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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