PETER DEREVA

NASHVILLE, TN
NPI1588283063
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
PETER DEREVA
2000 GLEN ECHO RD STE 105
NASHVILLE, TN 37215-2857
Phone number: 214-687-2392
Mailing Address
PETER DEREVA
2845 CASCADE COVE DR
LITTLE ELM, TX 75068-7607
Phone number: 214-687-2392
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