Mary Peterson, ADMINISTRATOR

NPI #1063221646 in Jacksonville, Florida

Provider Information

NPI Number
1063221646
Entity Type
Individual
Name
Mary Peterson, ADMINISTRATOR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Credential
ADMINISTRATOR
Enumeration Date
Jan 7, 2025
Last Updated
Jan 7, 2025

Practice Location

Address
1622 SILVER ST
State
Florida
ZIP Code
32206-4446
Phone
(904) 356-3022

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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