Individual
DOROLIE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1378 LAKE AVE., WELLS, NV 89835
(775) 752-3837
Mailing address
HC 67 BOX 22, WELLS, NV 89835-9512
(775) 489-8240
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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