Individual
MS. JULIE MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC. DIPL.AC.
Contact information
Practice address
3444 N COUNTRY CLUB RD, SUITE 112, TUCSON, AZ 85716-1200
(520) 617-0359
Mailing address
3444 N COUNTRY CLUB RD, SUITE 112, TUCSON, AZ 85716-1200
(520) 617-0359
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0126
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14160
NCCAOM
—
Enumeration date
09/23/2016
Last updated
09/24/2016
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