Individual
MR. NATHAN PETERSBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
7711 NE 175TH ST, C301, KENMORE, WA 98028-3567
(425) 219-3853
Mailing address
7711 NE 175TH ST, C301, KENMORE, WA 98028-3567
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60686734
WA
Other
Enumeration date
10/31/2016
Last updated
09/29/2018
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