Individual
MS. FLORENCE PETERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC/A
Contact information
Practice address
2211 LOMAS BLVD, 5 NORTH, AUDIOLOGY, ALBUQUERQUE, NM 87131-0001
(505) 272-9581
(505) 272-3030
Mailing address
2211 LOMAS BLVD, 5 NORTH, AUDIOLOGY, ALBUQUERQUE, NM 87131-0001
(505) 272-9581
(505) 272-3030
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2568
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
992289
—
NM
Enumeration date
01/24/2006
Last updated
07/09/2007
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