Mark Alan Peterson, EDS
Mark Alan Peterson, EDS is an In Home Supportive Care Agency in Johnston, Iowa. Practices as a sole proprietor. Licensed in Iowa.
- Licensed in
- IA
- In the registry since
- 2019
Practice location Address checks out
5870 NW 54th CtJohnston, IA 50131-1418
Phone: (515) 462-4367
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Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X (IA) |
|---|
Record details
| NPI number | 1164069696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | EDS |
| Sole proprietor | Yes |
| NPI enumerated | December 3, 2019 |
| Last updated in NPPES | December 3, 2019 |
| Mailing address | 5870 Nw 54th Ct, Johnston, IA 50131-1418 |
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