Individual
DENISE J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1222 BRONSON WAY N, SUITE 100, RENTON, WA 98055-1762
(425) 228-2824
(425) 228-6956
Mailing address
1222 BRONSON WAY N, SUITE 100, RENTON, WA 98055-1762
(425) 228-2824
(425) 228-6956
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011739
WA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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