Search › Massachusetts › 101YM0800X
Jessica Peterson
NPI 1194292805 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4 Garfield Ave
Sagamore, MA 02561 - Phone
- (774) 994-2928
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 390200000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts