Individual
MISS MCKINZIE MADISON PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CONTINUING BA
Contact information
Practice address
2118 E SPRAGUE AVE, SPOKANE, WA 99202-3125
(509) 838-4651
Mailing address
2118 E SPRAGUE AVE, SPOKANE, WA 99202-3125
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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