Individual
DR. JEANNE YONG-TAI PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1732 N 9TH STREET RD, APT. 16, LAFAYETTE, IN 47904-5005
(425) 985-6761
Mailing address
1732 N 9TH STREET RD, APT. 16, LAFAYETTE, IN 47904-5005
(425) 985-6761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023660A
IN
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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