Individual
MISS KAITLYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 29 1/2 ST, ROCK ISLAND, IL 61201-3734
(309) 756-7224
Mailing address
1703 29 1/2 ST, ROCK ISLAND, IL 61201-3734
(309) 756-7224
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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