Individual
MS. GAYLE MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
129 HIDDEN FAWN, CIBOLO, TX 78108-4262
(210) 658-7299
Mailing address
129 HIDDEN FAWN, CIBOLO, TX 78108-4262
(210) 658-7299
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
053139
MN
Other
Enumeration date
03/21/2006
Last updated
03/10/2010
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