Search › Michigan › 171400000X
Shonda Peterson
NPI 1396479309 · on the registry since 2022 · sole proprietor
Practice
- Address
- 20251 Hunt Club Dr
Harper Woods, MI 48225 - Phone
- (313) 465-3439
- Organisation at this address
- Shonda Peterson
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-09
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 Michigan