THEWANDA PETERSON

GASTONIA, NC
NPI1902194087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  088356)
Enumeration Date2011-07-11
Last Update Date2020-10-27
Business Address
THEWANDA PETERSON CRNA
2525 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-834-4113
Mailing Address
THEWANDA PETERSON CRNA
1550 UNION RD STE B
GASTONIA, NC 28054-5522
Phone number: 704-864-8772