Shelly Peterson

NPI #1861089195 in London, Ohio

Provider Information

NPI Number: 1861089195
Entity Type: Individual
Name: Shelly Peterson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: In Home Supportive Care
Enumeration Date: Dec 21, 2020
Last Updated: Dec 21, 2020

Practice Location

Address: 309 ANDOVER DR
City: London
State: Ohio
ZIP Code: 43140-1600
Phone: (614) 972-0046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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