Individual
MARCELLA JOY PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 24TH AVE S, SEATTLE, WA 98144-4637
(206) 382-5340
Mailing address
2100 24TH AVE S, SEATTLE, WA 98144-4637
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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