Individual
SANDRA SUE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5631 ABBEY CT APT 17, LINCOLN, NE 68505-3310
(308) 627-0161
Mailing address
5631 ABBEY CT APT 17, LINCOLN, NE 68505-3310
(308) 627-0161
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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