Individual
MRS. ALTARI SUNRA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1016 N SUPERIOR ST, RM 9, SPOKANE, WA 99202-2059
(509) 953-6372
Mailing address
14123 N DEER LN, MEAD, WA 99021-9273
(509) 466-3822
(509) 466-3577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012046
WA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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