Individual
JENNA BEVERLY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 N GREEN VALLEY PKWY APT 2814, HENDERSON, NV 89074-5809
(503) 729-5007
Mailing address
1851 N GREEN VALLEY PKWY APT 2814, HENDERSON, NV 89074-5809
(503) 729-5007
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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