Individual
MS. ELISABETH C. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2200 PUMP RD, HENRICO, VA 23233-3539
(804) 440-3110
(804) 377-9690
Mailing address
2306 BOULDER RUN CT, HENRICO, VA 23238-3644
(804) 440-3110
(804) 377-9690
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
839987
VA
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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