Provider Demographics
NPI:1225027113
Name:PETERS, JUNE A (MS)
Entity Type:Individual
Prefix:MS
First Name:JUNE
Middle Name:A
Last Name:PETERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6120 EXECUTIVE BLVD
Mailing Address - Street 2:EPS 7026
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4906
Mailing Address - Country:US
Mailing Address - Phone:301-594-7646
Mailing Address - Fax:
Practice Address - Street 1:6120 EXECUTIVE BLVD
Practice Address - Street 2:EPS 7026
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4906
Practice Address - Country:US
Practice Address - Phone:301-594-7646
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS