Individual provider · NPI-1

Sharon Peterson

Preferred Provider Organization · Cincinnati, OH

NPI number1982130084
StatusActive
Last updated in NPPESMay 10, 2017

Details

NPI
1982130084
Entity type
Individual (NPI-1)
Name
Sharon Peterson
Sex
Female
Sole proprietor
Yes
Enumeration date
May 10, 2017
Last updated
May 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305R00000X Preferred Provider Organization–OHYes

Practice location

6118 Mayflower Ave
Cincinnati, OH 45237-4820

Phone 513-731-8310

Mailing address

6118 Mayflower Ave
Cincinnati, OH 45237-4820

Phone 513-731-8310

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