Individual
REBECCA LEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
Mailing address
2527 NORTH CHRISTINE DRIVE, WASILLA, ALASKA 99623
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
AK
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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