Individual
MRS. TAMMY FAYE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 S CRATER RD, STE.B, PETERSBURG, VA 23805-9211
(804) 733-6960
(804) 733-3880
Mailing address
3400 S CRATER RD, STE.B, PETERSBURG, VA 23805-9211
(804) 733-6960
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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