Individual
KRYSTAL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 SOYBEAN DR, APPOMATTOX, VA 24522-4308
(434) 258-7818
(434) 664-2023
Mailing address
311 SOYBEAN DR, APPOMATTOX, VA 24522-4308
(434) 258-7818
(434) 664-2023
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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