Mark Alan Peterson, EDS

NPI #1164069696 in Johnston, Iowa

Provider Information

NPI Number
1164069696
Entity Type
Individual
Name
Mark Alan Peterson, EDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
In Home Supportive Care
Credential
EDS
Enumeration Date
Dec 3, 2019
Last Updated
Dec 3, 2019

Practice Location

Address
5870 NW 54TH CT
State
Iowa
ZIP Code
50131-1418
Phone
(515) 462-4367

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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