Individual
ALINA ANN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12611 NE 99TH ST APT N91, VANCOUVER, WA 98682-2483
(971) 263-1050
Mailing address
12611 NE 99TH ST APT N91, VANCOUVER, WA 98682-2483
(971) 263-1050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23010
OR
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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