Individual
PATRICE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 MCQUEEN VILLAGE RD APT A, PRATTVILLE, AL 36066-7316
(334) 744-9461
Mailing address
605 MCQUEEN VILLAGE RD APT A, PRATTVILLE, AL 36066-7316
(334) 744-9461
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
172A00000X
Driver
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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