LATRICE PETERSON

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1518464189

Practice Address

173 RUSSO AVE UNIT 612
East Haven, CT 06513

Phone: (203) 823-3810

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1518464189 is the National Provider Identifier for LATRICE PETERSON, a Student in an Organized Health Care Education/Training Program provider located in East Haven, CT. This NPI was enumerated on April 10, 2018.
LATRICE PETERSON practices at 173 RUSSO AVE UNIT 612, East Haven, CT 06513.

Quick Facts

NPI
1518464189
Type
Individual
Enumerated
Apr 10, 2018
Last Updated
Apr 10, 2018

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