Individual
LEAH M PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9474 HORSESHOE CREEK RD, KALEVA, MI 49645-9733
(231) 794-4758
Mailing address
9474 HORSESHOE CREEK RD, KALEVA, MI 49645-9733
(231) 794-4758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027344
MI
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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