Peterson, Ganielle Marva

Peterson, Ganielle Marva is an individual health care provider with primary practice located at 2773 Se Clareton Ter , Port St Lucie FL 34952-6621. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Peterson, Ganielle Marva can be contacted via phone (954) 657-1812.

Contact Information

Primary practice address
2773 Se Clareton Ter Port St Lucie FL 34952-6621
Phone: (954) 657-1812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X Florida

Profile Details

NPI number 1285241489
LBN Legal business name Peterson, Ganielle Marva
Credentials ASSISTED LIVING ADMN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2020
Last updated Sep 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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