Individual
MARIA ELENA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5915 ORCHARD ST W, TACOMA, WA 98467-3824
(253) 414-7461
Mailing address
723 SW 10TH ST, RENTON, WA 98057-5223
(253) 414-7461
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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