Individual
SANDRA FAE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., M.N.S
Contact information
Practice address
1200 COLCHESTER DR E, PORT ORCHARD, WA 98366-8519
(360) 871-2407
Mailing address
1200 COLCHESTER DR E, PORT ORCHARD, WA 98366-8519
(360) 871-2407
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LL 0002518
WA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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