Individual
DR. KAREN RENEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
102 W RIM RD, CARSON, NM 87517-8099
(503) 774-2857
Mailing address
PO BOX 841, TAOS, NM 87571-0841
(503) 774-2857
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC164788
OR
171100000X
Acupuncturist
ACU0002826
CO
175F00000X
Naturopath
2017
OR
175F00000X
Naturopath
Primary
ND2023-0024
NM
Other
Enumeration date
01/24/2014
Last updated
10/22/2023
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