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Genela Vallejo De Peter
NPI 1124525274 · on the registry since 2018 · sole proprietor
Practice
- Address
- 140 Roscommon Ct
Tyrone, GA 30290 - Phone
- (470) 776-4223
- Organisation at this address
- Kp Behaviors Options Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-06
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 Georgia