Individual
MR. JEFFREY DANIEL PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2655 ENTERPRISE RD, RENO, NV 89512-1666
(775) 688-1636
Mailing address
2475 ROBB DR APT 111, RENO, NV 89523-2814
(775) 762-1930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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