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NPI Code Detail

MEDICARE: MRS. PETRINA PETERS CHESTER

MEDICARE:  MRS. PETRINA PETERS CHESTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)LA

General Provider Information

NPI Number : 1013492172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PETRINA PETERS CHESTER
Provider Business Mailing Address
First Line : 2043 HEATHER LN
Second Line :
City : SLIDELL
State : LA
Zip : 70461-4827
Country : US
Telephone Number : 504-583-8895
Fax Number : 985-265-4402
Provider Business Practice Location Address
First Line : 2043 HEATHER LN
Second Line :
City : SLIDELL
State : LA
Zip : 70461-4827
Country : US
Telephone Number : 504-583-8895
Fax Number : 985-265-4402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2018
Last Update Date : 09/25/2018

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Directions to “ MRS. PETRINA PETERS CHESTER ” Practice Location

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