Individual
CALE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
27911 68TH AVE NW, STANWOOD, WA 98292-6458
(206) 293-3129
Mailing address
27911 68TH AVE NW, STANWOOD, WA 98292-6458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60377313
WA
163W00000X
Registered Nurse
Primary
RN60377313
WA
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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