Individual
KRISTIAN LEE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
109 HINTON AVE STE 10, WILMINGTON, NC 28403-4772
(910) 200-8806
Mailing address
126 YORKSHIRE LN, WILMINGTON, NC 28409-8134
(910) 200-8806
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
317
NC
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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