Individual
MS. DIANE LOUISE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8220 SHADY NOOK CT, PASADENA, MD 21122-1149
(410) 437-9267
Mailing address
8220 SHADY NOOK CT, PASADENA, MD 21122-1149
(410) 437-9267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 119157
MD
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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