Individual
STEPHANIE MARIE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 W 200 N, KAYSVILLE, UT 84037-9711
(385) 888-5320
Mailing address
1370 W 200 N, KAYSVILLE, UT 84037-9711
(385) 888-5320
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
344963-1701
UT
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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