Individual
CAROLYN EVELYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
3016 MARTIN LUTHER KINNG JR. AVE SE, WASHINGTON, DC 20032
(202) 373-0330
Mailing address
3565 STANTON RD SE, WASHINGTON, DC 20020-2219
(240) 817-7259
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15472
DC
Other
Enumeration date
01/01/2021
Last updated
01/18/2021
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