Individual
DR. JENNIFER LYNN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
128 6TH AVE S, CLINTON, IA 52732-4103
(563) 243-1268
Mailing address
128 6TH AVE S, CLINTON, IA 52732-4103
(563) 243-1268
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06013
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1168062
—
IA
Enumeration date
01/10/2006
Last updated
12/31/2007
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