Individual
ELIZABETH PELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4585 FISHING CLUB DR, JACKSON, WY 83001-0015
(808) 214-2992
Mailing address
PO BOX 7689, JACKSON, WY 83002-7689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200224
WY
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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