Individual
RACHEL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
833 S 9TH AVE, BROKEN BOW, NE 68822-2411
(402) 768-8178
Mailing address
833 S 9TH AVE, BROKEN BOW, NE 68822-2411
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2131
NE
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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