Individual
TINA MARIE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 BROADWAY AVE, N LAS VEGAS, NV 89030-5900
(775) 338-8680
Mailing address
3600 BROADWAY AVE, N LAS VEGAS, NV 89030-5900
(775) 338-8680
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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