Individual
TERI PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17-551 LUHI RD, KURTISTOWN, HI 96760
(808) 989-5204
Mailing address
PO BOX 828, KEAAU, HI 96749-0828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23385
HI
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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