Individual
JANET E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 255-8379
(253) 798-3522
Mailing address
3629 S D ST, TACOMA, WA 98418-6813
(253) 255-8379
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00114247
WA
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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