Individual
JANMARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
GEORGE E WAHLEN VA SLC HEALTHCARE SYSTEM, 500 FOOTHILL BLVD., SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
GEORGE E WAHLEN VA SLC HEALTHCARE SYSTEM, 500 FOOTHILL BLVD., SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
208579-3102
UT
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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