Female

Louisa Peterson

Driver in N Las Vegas, NV(View on Map)

Full Name

Louisa Peterson

NPI Number

1891350989

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/05/2019

Specialties

(Taxonomies)

Name

Code

172A00000X

Primary Taxonomy

Yes

Licenses

State

Nevada

License Number

NV20181835448

Contact
Information

Purpose

Mailing
Location

Address

3005 SHADY GARDEN CT
3005 SHADY GARDEN CT

City

N Las Vegas
N Las Vegas

State

NV
NV

Postal Code

89031-3508
89031-3508

Country

US
US

Telephone Number

(775) 910-8003
(775) 910-8003

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/05/2019

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