NPI 1093314908
Mary Jane Peterson, PROVIDER
Practice location
- Address
- 1126 Marianna Dr, Mansfield, OH 44903-9672
- Phone
- (567) 333-1298
- Fax
- (419) 589-6641
Registered specialties
Chore Provider
Primary
Registry record
- NPI
- 1093314908
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Oct 2020
- Record last updated
- 30 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.