Individual
TINA D PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1519 NYE RD, SUITE 200, LYONS, NY 14489-9133
(315) 946-5749
Mailing address
1519 NYE RD, SUITE 200, LYONS, NY 14489-9133
(315) 946-5749
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
455492
NY
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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