PETER VAN DALEN

LEXINGTON, KY
NPI1356095079
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  255054)
Enumeration Date2022-02-10
Last Update Date2022-02-10
Business Address
PETER VAN DALEN
204 SHORESIDE DR
LEXINGTON, KY 40515-5606
Phone number: 919-592-0101
Mailing Address
PETER VAN DALEN
204 SHORESIDE DR
LEXINGTON, KY 40515-5606
Phone number: 919-592-0101
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