IDELLA PETERSON

DETROIT, MI
NPI1568713543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704143291)
Enumeration Date2012-10-01
Last Update Date2012-10-01
Business Address
Mrs. IDELLA PETERSON RN
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-396-5300
Mailing Address
Mrs. IDELLA PETERSON RN
18751 BAINBRIDGE DR
SOUTHFIELD, MI 48076-5313
Phone number: 248-941-3965
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