Phylis Petersen
NPI #1386440246 in Saint Paul, Nebraska
Provider Information
- NPI Number
- 1386440246
- Entity Type
- Individual
- Name
- Phylis Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Feb 21, 2025
- Last Updated
- Feb 21, 2025
Practice Location
- Address
- 1310 KENDALL ST
- City
- Saint Paul
- State
- Nebraska
- ZIP Code
- 68873-1422
- Phone
- (308) 750-6394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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