Individual
ALISHA MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17824 E CHESTNUT DR, QUEEN CREEK, AZ 85142-8411
(480) 459-1196
Mailing address
17824 E CHESTNUT DR, QUEEN CREEK, AZ 85142-8411
(480) 459-1196
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-148973
AZ
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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