Individual
MRS. HOLLY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 PARK RD, JACKSON, MI 49203-5066
(517) 787-7907
Mailing address
1107 PARK RD, JACKSON, MI 49203-5066
(517) 787-7907
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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