Most Relevant Information
Provider Data
| NPI Number: | 1003051301 |
| Provider Name: | YANETTE CARMINA PETERS |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | CNA 130573 |
Most Important Dates
| Enumeration Date: | 12/16/2008 |
| Last Updated: | 12/16/2008 |
Provider Practice Location
218 MIRACLE STRIP PKWY SW UNIT S
FORT WALTON BEACH
FL
325486648
Practice Location Phone/Fax
| Phone: | 8502408411 |
| Fax: |
Provider Mailing Location
218 MIRACLE STRIP PKWY SW UNIT S
FORT WALTON BEACH
FL
325486648
Provider Mailing Phone/Fax
| Phone: | 8502408411 |
| Fax: |