Individual
MRS. AILEEN MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 JONATHAN DR, JACKSONVILLE, NC 28540-3153
(910) 650-1994
Mailing address
202 JONATHAN DR, JACKSONVILLE, NC 28540-3153
(910) 650-1994
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
175F00000X
Naturopath
—
—
176B00000X
Midwife
Primary
—
—
225700000X
Massage Therapist
11913
NC
374J00000X
Doula
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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