Individual
JOELLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12925 16TH AVE N, PLYMOUTH, MN 55441-4560
(763) 745-6053
(763) 745-5059
Mailing address
12925 16TH AVE N, PLYMOUTH, MN 55441-4560
(763) 745-6053
(763) 745-5059
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
10174
MN
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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