Individual
DESIREE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W OWENS AVE, N LAS VEGAS, NV 89030-6865
(702) 385-0072
(702) 385-2337
Mailing address
1 W OWENS AVE, N LAS VEGAS, NV 89030-6865
(702) 385-0072
(702) 385-2337
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/25/2014
Last updated
12/25/2014
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