MS. GANIELLE PETERSON, ASSISTED LIVING ADMN

Nursing Home Administrator

Active Individual
NPI: 1285241489

Practice Address

2773 SE CLARETON TER
Port St Lucie, FL 34952

Phone: (954) 657-1812

Specialties

Specialty Code Primary License
Nursing Home Administrator 376G00000X Yes -

Frequently Asked Questions

NPI 1285241489 is the National Provider Identifier for MS. GANIELLE PETERSON, ASSISTED LIVING ADMN, a Nursing Home Administrator provider located in Port St Lucie, FL. This NPI was enumerated on September 30, 2020.
MS. GANIELLE PETERSON, ASSISTED LIVING ADMN practices at 2773 SE CLARETON TER, Port St Lucie, FL 34952.

Quick Facts

NPI
1285241489
Type
Individual
Enumerated
Sep 30, 2020
Last Updated
Sep 30, 2020

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