Individual
PAMELA MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1220 MONTGOMERY ST, CUSTER, SD 57730-1705
(605) 673-9460
(605) 673-3618
Mailing address
1220 MONTGOMERY ST, CUSTER, SD 57730-1705
(605) 673-9460
(605) 673-3618
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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