Individual
MS. MARY ANN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1048 E 25TH AVE, EUGENE, OR 97405-3030
(541) 844-5520
Mailing address
1048 E 25TH AVE, EUGENE, OR 97405-3030
(541) 844-5520
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01142
OR
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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