Individual
MRS. MICHELE L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
5850 CAMERON RUN TER, 826, ALEXANDRIA, VA 22303-1860
(703) 350-2056
Mailing address
5850 CAMERON RUN TER, 826, ALEXANDRIA, VA 22303-1860
(703) 350-2056
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
VA
Other
Enumeration date
12/27/2009
Last updated
12/27/2009
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